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 $3,807.45 / $4,141.22 / $5,231.28	Professional		$3,807.45	$4,141.22	$5,231.28
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 $3,615.38 / $4,623.25 / $7,643.61	Professional		$3,615.38	$4,623.25	$7,643.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,603.32 / $4,603.32 / $19,314.00	Professional		$4,603.32	$4,603.32	$19,314.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $4,449.92	Facility		$640.00	$640.00	$4,449.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,803.37 / $5,283.66 / $8,690.65	Professional		$3,803.37	$5,283.66	$8,690.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,710.61 / $4,749.58 / $5,565.03	Professional		$3,710.61	$4,749.58	$5,565.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4,036.73 / $5,243.90 / $7,619.35	Facility		$4,036.73	$5,243.90	$7,619.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5,004.00 / $5,694.00 / $7,374.00	Professional		$5,004.00	$5,694.00	$7,374.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3,798.65 / $5,210.78 / $9,929.00	Facility		$3,798.65	$5,210.78	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3,798.65 / $5,210.78 / $9,929.00	Professional		$3,798.65	$5,210.78	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,621.00 / $20,974.00 / $40,876.00	Facility		$7,621.00	$20,974.00	$40,876.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,210.59 / $5,039.89 / $7,806.15	Professional		$3,210.59	$5,039.89	$7,806.15