Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,181.20 / $6,749.87 / $13,351.40	Facility		$6,181.20	$6,749.87	$13,351.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,817.60 / $6,181.20 / $6,181.20	Professional		$5,817.60	$6,181.20	$6,181.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,110.63 / $4,369.00 / $6,901.76	Facility		$2,110.63	$4,369.00	$6,901.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,817.60 / $5,817.60 / $7,797.91	Professional		$5,817.60	$5,817.60	$7,797.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $5,817.60 / $5,817.60 / $5,817.60	Professional		$5,817.60	$5,817.60	$5,817.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,181.20 / $6,181.20 / $6,181.20	Facility		$6,181.20	$6,181.20	$6,181.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,181.20 / $6,181.20 / $6,181.20	Professional		$6,181.20	$6,181.20	$6,181.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $708.19 / $1,020.89 / $6,544.80	Professional		$708.19	$1,020.89	$6,544.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $846.91 / $6,181.20 / $9,457.24	Facility		$846.91	$6,181.20	$9,457.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $952.00 / $1,348.00 / $2,340.00	Professional		$952.00	$1,348.00	$2,340.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $6,060.00 / $6,969.00 / $9,090.00	Facility		$6,060.00	$6,969.00	$9,090.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $6,060.00 / $6,969.00 / $9,090.00	Professional		$6,060.00	$6,969.00	$9,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $6,060.00 / $6,423.60 / $7,150.80	Professional		$6,060.00	$6,423.60	$7,150.80