Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $4,436.85 / $8,812.94	Facility		$0.03	$4,436.85	$8,812.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $3,857.12 / $15,031.10	Professional		$0.02	$3,857.12	$15,031.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,878.39 / $11,384.36 / $14,376.55	Facility		$8,878.39	$11,384.36	$14,376.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $423.14 / $423.14 / $706.38	Professional		$423.14	$423.14	$706.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,870.12 / $2,103.89 / $4,102.59	Professional		$1,870.12	$2,103.89	$4,102.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,519.47 / $4,368.05 / $11,975.26	Facility		$1,519.47	$4,368.05	$11,975.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,152.39 / $1,418.89 / $3,858.24	Professional		$1,152.39	$1,418.89	$3,858.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,337.65 / $2,805.18 / $3,459.72	Professional		$2,337.65	$2,805.18	$3,459.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,337.65 / $2,805.18 / $4,324.64	Facility		$2,337.65	$2,805.18	$4,324.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,300.00 / $3,203.00 / $5,610.36	Professional		$2,300.00	$3,203.00	$5,610.36
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,916.87 / $2,809.86 / $9,929.00	Facility		$1,916.87	$2,809.86	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,916.87 / $2,809.86 / $9,929.00	Professional		$1,916.87	$2,809.86	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,103.89 / $2,337.65 / $3,506.48	Facility		$2,103.89	$2,337.65	$3,506.48
United Facility/Professional Professional Modifier Low / Median / High Price $981.81 / $1,215.58 / $2,688.30	Professional		$981.81	$1,215.58	$2,688.30