Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,481.66 / $5,541.40 / $9,722.26	Facility		$2,481.66	$5,541.40	$9,722.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,189.69 / $2,481.66 / $2,919.60	Professional		$2,189.69	$2,481.66	$2,919.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,919.60 / $2,919.60 / $14,218.45	Facility		$2,919.60	$2,919.60	$14,218.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,167.83 / $1,167.83 / $1,783.87	Professional		$1,167.83	$1,167.83	$1,783.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,335.67 / $2,627.64 / $5,123.89	Professional		$2,335.67	$2,627.64	$5,123.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,918.93 / $5,455.47 / $14,956.11	Facility		$1,918.93	$5,455.47	$14,956.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,367.86 / $1,804.25 / $5,199.10	Professional		$1,367.86	$1,804.25	$5,199.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,919.60 / $3,503.52 / $4,321.01	Professional		$2,919.60	$3,503.52	$4,321.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,880.00 / $2,189.69 / $3,970.66	Facility		$1,880.00	$2,189.69	$3,970.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,409.00 / $3,065.58 / $6,895.03	Professional		$2,409.00	$3,065.58	$6,895.03
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,043.72 / $3,509.36 / $10,945.00	Facility		$2,043.72	$3,509.36	$10,945.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,043.72 / $3,533.88 / $10,945.00	Professional		$2,043.72	$3,533.88	$10,945.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,226.23 / $1,459.80 / $2,919.60	Professional		$1,226.23	$1,459.80	$2,919.60