Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $8,128.31 / $15,135.61	Facility		$2,884.03	$8,128.31	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,019.95 / $4,466.84	Professional		$2,570.40	$3,019.95	$4,466.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $15,488.17	Facility		$3,890.45	$3,890.45	$15,488.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $2,187.76	Professional		$1,258.93	$1,258.93	$2,187.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,162.28 / $3,467.37	Professional		$2,951.21	$3,162.28	$3,467.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $9,549.93 / $19,952.62	Facility		$3,981.07	$9,549.93	$19,952.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $4,677.35 / $5,623.41	Professional		$2,290.87	$4,677.35	$5,623.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,265.80 / $5,370.32	Professional		$3,890.45	$4,265.80	$5,370.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $4,365.16 / $6,456.54	Facility		$3,090.30	$4,365.16	$6,456.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $8,128.31	Professional		$2,511.89	$2,511.89	$8,128.31
Sentara Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $3,890.45 / $7,244.36	Facility		$77.62	$3,890.45	$7,244.36
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,890.45 / $7,244.36	Professional		$2,511.89	$3,890.45	$7,244.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,890.45 / $4,677.35	Facility		$2,344.23	$3,890.45	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,949.84 / $4,466.84	Professional		$1,621.81	$1,949.84	$4,466.84