Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $5,143.47 / $9,701.62	Facility		$0.03	$5,143.47	$9,701.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,355.00 / $2,710.00 / $2,710.00	Professional		$1,355.00	$2,710.00	$2,710.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,292.39 / $13,197.46 / $16,666.18	Facility		$10,292.39	$13,197.46	$16,666.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $846.27 / $1,412.76	Professional		$846.27	$846.27	$1,412.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,167.96 / $2,438.96 / $4,755.97	Professional		$2,167.96	$2,438.96	$4,755.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,761.47 / $5,063.72 / $13,882.55	Facility		$1,761.47	$5,063.72	$13,882.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,335.92 / $1,644.95 / $4,472.93	Professional		$1,335.92	$1,644.95	$4,472.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,709.95 / $3,251.94 / $4,010.73	Professional		$2,709.95	$3,251.94	$4,010.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,709.95 / $3,251.94 / $5,013.41	Facility		$2,709.95	$3,251.94	$5,013.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,667.00 / $3,713.00 / $6,503.88	Professional		$2,667.00	$3,713.00	$6,503.88
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,222.16 / $3,257.36 / $9,929.00	Facility		$2,222.16	$3,257.36	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,222.16 / $3,257.36 / $9,929.00	Professional		$2,222.16	$3,257.36	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,138.18 / $1,354.98 / $3,116.44	Professional		$1,138.18	$1,354.98	$3,116.44