Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,836.42 / $2,889.08 / $7,541.56	Facility		$1,836.42	$2,889.08	$7,541.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,813.14 / $1,964.20 / $2,081.28	Professional		$1,813.14	$1,964.20	$2,081.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,448.56 / $2,448.56 / $12,034.67	Facility		$2,448.56	$2,448.56	$12,034.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $979.42 / $979.42 / $1,591.56	Professional		$979.42	$979.42	$1,591.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,958.85 / $1,958.85 / $3,819.76	Professional		$1,958.85	$1,958.85	$3,819.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,591.56 / $4,575.29 / $12,543.92	Facility		$1,591.56	$4,575.29	$12,543.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,154.11 / $1,486.35 / $3,983.46	Professional		$1,154.11	$1,486.35	$3,983.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,448.56 / $2,938.27 / $3,623.87	Professional		$2,448.56	$2,938.27	$3,623.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,038.43 / $2,815.84 / $4,211.52	Facility		$2,038.43	$2,815.84	$4,211.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,409.00 / $3,355.00 / $5,876.54	Professional		$2,409.00	$3,355.00	$5,876.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,007.82 / $2,742.39 / $9,929.00	Facility		$2,007.82	$2,742.39	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,007.82 / $2,742.39 / $9,929.00	Professional		$2,007.82	$2,742.39	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,469.14 / $2,448.56 / $2,938.27	Facility		$1,469.14	$2,448.56	$2,938.27
United Facility/Professional Professional Modifier Low / Median / High Price $1,028.40 / $1,224.28 / $3,183.13	Professional		$1,028.40	$1,224.28	$3,183.13