Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $7,413.10 / $9,549.93	Facility		$2,884.03	$7,413.10	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,090.30 / $4,466.84	Professional		$2,570.40	$3,090.30	$4,466.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $15,488.17	Facility		$3,890.45	$3,890.45	$15,488.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $2,691.53	Professional		$1,548.82	$1,548.82	$2,691.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,162.28 / $3,467.37	Professional		$2,951.21	$3,162.28	$3,467.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $9,549.93 / $19,952.62	Facility		$3,981.07	$9,549.93	$19,952.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $2,344.23 / $5,623.41	Professional		$45.71	$2,344.23	$5,623.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,265.80 / $5,370.32	Professional		$3,890.45	$4,265.80	$5,370.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,715.35 / $6,309.57	Facility		$2,884.03	$3,715.35	$6,309.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $8,128.31	Professional		$2,511.89	$2,511.89	$8,128.31
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $4,466.84 / $10,000.00	Facility		$2,691.53	$4,466.84	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $4,466.84 / $10,000.00	Professional		$2,691.53	$4,466.84	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,890.45 / $4,677.35	Facility		$2,344.23	$3,890.45	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,949.84 / $4,466.84	Professional		$1,621.81	$1,949.84	$4,466.84