Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,522.50 / $3,852.94 / $7,267.40	Facility		$1,522.50	$3,852.94	$7,267.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,522.50 / $1,725.50 / $2,030.00	Professional		$1,522.50	$1,725.50	$2,030.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,709.94 / $9,886.10 / $12,484.50	Facility		$7,709.94	$9,886.10	$12,484.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $200.00 / $333.88	Professional		$200.00	$200.00	$333.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,624.00 / $1,827.00 / $3,562.65	Professional		$1,624.00	$1,827.00	$3,562.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,319.50 / $3,793.19 / $10,400.12	Facility		$1,319.50	$3,793.19	$10,400.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.83 / $1,232.10 / $3,350.37	Professional		$1,000.83	$1,232.10	$3,350.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,030.00 / $2,436.00 / $3,004.40	Professional		$2,030.00	$2,436.00	$3,004.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,689.98 / $2,334.50 / $3,451.00	Facility		$1,689.98	$2,334.50	$3,451.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,997.00 / $2,781.00 / $4,872.00	Professional		$1,997.00	$2,781.00	$4,872.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,664.60 / $2,440.06 / $9,929.00	Facility		$1,664.60	$2,440.06	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,664.60 / $2,440.06 / $9,929.00	Professional		$1,664.60	$2,440.06	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $852.60 / $1,015.00 / $2,188.34	Professional		$852.60	$1,015.00	$2,188.34