Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility		$3,311.31	$3,311.31	$3,311.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,311.31 / $5,370.32	Professional		$2,691.53	$3,311.31	$5,370.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $6,760.83	Facility		$6,309.57	$6,309.57	$6,760.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $7,244.36 / $15,135.61	Professional		$7,079.46	$7,244.36	$15,135.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $4,365.16	Professional		$3,715.35	$3,715.35	$4,365.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,801.89 / $3,801.89	Facility		$2,344.23	$3,801.89	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,801.89	Professional		$3,235.94	$3,235.94	$3,801.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $6,309.57 / $8,912.51	Professional		$4,466.84	$6,309.57	$8,912.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,168.69 / $6,165.95	Professional		$3,162.28	$4,168.69	$6,165.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $4,570.88 / $7,943.28	Facility		$2,691.53	$4,570.88	$7,943.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,801.89 / $4,168.69	Professional		$3,388.44	$3,801.89	$4,168.69
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,128.61 / $10,000.00	Facility		$3,388.44	$5,128.61	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $5,128.61 / $10,000.00	Professional		$3,388.44	$5,128.61	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,265.80 / $9,120.11	Facility		$2,137.96	$4,265.80	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,090.30 / $4,677.35	Professional		$2,884.03	$3,090.30	$4,677.35