Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $7,943.28 / $14,791.08	Facility		$2,818.38	$7,943.28	$14,791.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,019.95 / $4,265.80	Professional		$2,041.74	$3,019.95	$4,265.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $15,135.61	Facility		$3,715.35	$3,715.35	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $2,630.27	Professional		$1,513.56	$1,513.56	$2,630.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,019.95 / $3,388.44	Professional		$2,884.03	$3,019.95	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $9,332.54 / $19,054.61	Facility		$3,801.89	$9,332.54	$19,054.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,290.87 / $5,495.41	Professional		$1,698.24	$2,290.87	$5,495.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,168.69 / $5,248.07	Professional		$3,715.35	$4,168.69	$5,248.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,981.07 / $6,165.95	Facility		$2,951.21	$3,981.07	$6,165.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $7,943.28	Professional		$1,412.54	$1,412.54	$7,943.28
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $4,466.84 / $10,964.78	Facility		$3,162.28	$4,466.84	$10,964.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $4,466.84 / $10,964.78	Professional		$3,235.94	$4,466.84	$10,964.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,715.35 / $4,466.84	Facility		$1,737.80	$3,715.35	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,737.80 / $4,073.80	Professional		$1,230.27	$1,737.80	$4,073.80