Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,633.00 / $5,282.00 / $10,767.00	Facility		$3,633.00	$5,282.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,808.64 / $3,411.45 / $4,333.72	Professional		$2,808.64	$3,411.45	$4,333.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,976.00 / $54,001.38 / $75,212.97	Facility		$13,976.00	$54,001.38	$75,212.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,998.57 / $3,834.50 / $6,339.57	Professional		$2,998.57	$3,834.50	$6,339.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,818.39 / $3,818.39 / $19,314.00	Professional		$3,818.39	$3,818.39	$19,314.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $3,686.20	Facility		$640.00	$640.00	$3,686.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,075.71 / $4,203.46 / $7,187.99	Professional		$3,075.71	$4,203.46	$7,187.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,079.23 / $3,941.41 / $4,621.96	Professional		$3,079.23	$3,941.41	$4,621.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,260.37 / $4,282.72 / $6,410.63	Facility		$3,260.37	$4,282.72	$6,410.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,904.00 / $4,530.00 / $6,099.00	Professional		$3,904.00	$4,530.00	$6,099.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3,094.12 / $4,119.67 / $9,929.00	Facility		$3,094.12	$4,119.67	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3,094.12 / $4,119.67 / $9,929.00	Professional		$3,094.12	$4,119.67	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $10,071.00 / $17,777.00 / $35,289.00	Facility		$10,071.00	$17,777.00	$35,289.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,533.54 / $4,115.64 / $6,452.66	Professional		$2,533.54	$4,115.64	$6,452.66