Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,153.25 / $5,449.16 / $10,278.20	Facility		$2,153.25	$5,449.16	$10,278.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,153.25 / $2,354.21 / $2,440.35	Professional		$2,153.25	$2,354.21	$2,440.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,871.00 / $2,871.00 / $14,110.97	Facility		$2,871.00	$2,871.00	$14,110.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.40 / $1,148.40 / $1,835.25	Professional		$1,148.40	$1,148.40	$1,835.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,296.80 / $2,296.80 / $4,478.76	Professional		$2,296.80	$2,296.80	$4,478.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,866.15 / $5,343.35 / $14,707.83	Facility		$1,866.15	$5,343.35	$14,707.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,415.34 / $1,742.65 / $4,738.62	Professional		$1,415.34	$1,742.65	$4,738.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,871.00 / $3,445.20 / $4,249.08	Professional		$2,871.00	$3,445.20	$4,249.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,153.25 / $3,123.65 / $4,465.84	Facility		$2,153.25	$3,123.65	$4,465.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,616.00 / $2,984.32 / $6,780.26	Professional		$2,616.00	$2,984.32	$6,780.26
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,354.21 / $3,408.74 / $9,929.00	Facility		$2,354.21	$3,408.74	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,354.21 / $3,450.94 / $9,929.00	Professional		$2,354.21	$3,450.94	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $893.25 / $1,291.95 / $3,041.30	Professional		$893.25	$1,291.95	$3,041.30