Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,226.00 / $5,412.00 / $11,024.00	Facility		$3,226.00	$5,412.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,119.69 / $2,920.27 / $3,772.16	Professional		$2,119.69	$2,920.27	$3,772.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,823.00 / $12,004.00 / $15,528.00	Facility		$9,823.00	$12,004.00	$15,528.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,579.52 / $3,340.50 / $5,522.84	Professional		$2,579.52	$3,340.50	$5,522.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,313.61 / $2,753.20 / $15,406.00	Professional		$2,313.61	$2,753.20	$15,406.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.00 / $776.00 / $3,209.63	Facility		$776.00	$776.00	$3,209.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,464.44 / $3,358.14 / $6,257.82	Professional		$2,464.44	$3,358.14	$6,257.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,683.63 / $3,435.05 / $4,029.77	Professional		$2,683.63	$3,435.05	$4,029.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,764.98 / $3,557.87 / $5,344.09	Facility		$2,764.98	$3,557.87	$5,344.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,029.00 / $3,628.00 / $5,310.00	Professional		$3,029.00	$3,628.00	$5,310.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,394.39 / $3,370.27 / $7,902.00	Facility		$2,394.39	$3,370.27	$7,902.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,394.39 / $3,370.27 / $7,902.00	Professional		$2,394.39	$3,370.27	$7,902.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,296.00 / $26,537.00	Facility		$7,408.00	$13,296.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,113.34 / $3,228.71 / $5,447.55	Professional		$2,113.34	$3,228.71	$5,447.55