Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $10,000.00 / $18,620.87	Facility		$3,548.13	$10,000.00	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,715.35 / $5,495.41	Professional		$3,162.28	$3,715.35	$5,495.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $19,054.61	Facility		$4,786.30	$4,786.30	$19,054.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $6,456.54	Professional		$3,801.89	$3,801.89	$6,456.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,890.45 / $4,365.16	Professional		$3,715.35	$3,890.45	$4,365.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $11,748.98 / $24,547.09	Facility		$4,897.79	$11,748.98	$24,547.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $6,918.31	Professional		$5,888.44	$5,888.44	$6,918.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $5,248.07 / $6,760.83	Professional		$4,786.30	$5,248.07	$6,760.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $5,370.32 / $7,943.28	Facility		$3,801.89	$5,370.32	$7,943.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $10,000.00	Professional		$3,090.30	$3,090.30	$10,000.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $4,786.30 / $9,332.54	Facility		$67.61	$4,786.30	$9,332.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $4,786.30 / $9,332.54	Professional		$67.61	$4,786.30	$9,332.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $4,786.30 / $5,754.40	Facility		$2,884.03	$4,786.30	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,398.83 / $5,495.41	Professional		$1,995.26	$2,398.83	$5,495.41