Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,429.89 / $2,798.51 / $5,564.80	Facility		$2,429.89	$2,798.51	$5,564.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,440.69 / $2,953.25	Professional		$2,429.89	$2,440.69	$2,953.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,429.89 / $5,029.87 / $7,945.74	Facility		$2,429.89	$5,029.87	$7,945.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,429.89 / $3,257.02	Professional		$2,429.89	$2,429.89	$3,257.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,440.69 / $2,440.69	Professional		$2,429.89	$2,440.69	$2,440.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,292.35 / $2,292.35 / $2,429.89	Facility		$2,292.35	$2,292.35	$2,429.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,429.89 / $2,429.89	Professional		$2,429.89	$2,429.89	$2,429.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,065.41 / $2,429.89 / $2,974.42	Professional		$2,065.41	$2,429.89	$2,974.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,743.82 / $2,551.38 / $3,903.63	Facility		$1,743.82	$2,551.38	$3,903.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,324.34 / $3,499.00 / $5,578.42	Professional		$2,324.34	$3,499.00	$5,578.42
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,429.89 / $2,794.37 / $3,644.84	Facility		$2,429.89	$2,794.37	$3,644.84
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,794.37 / $3,644.84	Professional		$2,429.89	$2,794.37	$3,644.84
United Facility/Professional Facility Modifier Low / Median / High Price $9,277.66 / $9,277.66 / $9,277.66	Facility		$9,277.66	$9,277.66	$9,277.66
United Facility/Professional Professional Modifier Low / Median / High Price $2,429.89 / $2,575.67 / $2,786.13	Professional		$2,429.89	$2,575.67	$2,786.13