Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,022.46 / $5,412.00 / $10,767.00	Facility		$3,022.46	$5,412.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,313.91 / $2,716.14 / $3,139.72	Professional		$2,313.91	$2,716.14	$3,139.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,874.33 / $2,327.60 / $3,284.12	Professional		$1,874.33	$2,327.60	$3,284.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,570.75 / $3,570.75 / $9,211.00	Professional		$3,570.75	$3,570.75	$9,211.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,998.72 / $2,998.72 / $2,998.72	Facility		$2,998.72	$2,998.72	$2,998.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,315.69 / $3,056.53 / $5,361.02	Professional		$2,315.69	$3,056.53	$5,361.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,772.45 / $3,078.53 / $3,664.92	Professional		$2,772.45	$3,078.53	$3,664.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,346.98 / $3,022.46 / $4,074.21	Facility		$2,346.98	$3,022.46	$4,074.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,978.00 / $3,964.79 / $6,201.96	Professional		$1,978.00	$3,964.79	$6,201.96
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,390.48 / $3,291.38 / $9,929.00	Facility		$2,390.48	$3,291.38	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,390.48 / $3,291.38 / $9,929.00	Professional		$2,390.48	$3,291.38	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,270.00 / $17,192.00	Facility		$6,303.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,971.35 / $2,834.41 / $4,894.06	Professional		$1,971.35	$2,834.41	$4,894.06