Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,422.49 / $5,589.00 / $11,024.00	Facility		$3,422.49	$5,589.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,866.96 / $3,422.49 / $4,380.67	Professional		$2,866.96	$3,422.49	$4,380.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,142.00 / $20,977.18 / $29,216.95	Facility		$7,142.00	$20,977.18	$29,216.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,037.30 / $3,884.02 / $6,421.45	Professional		$3,037.30	$3,884.02	$6,421.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $916.00 / $3,127.28 / $5,200.00	Professional		$916.00	$3,127.28	$5,200.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $3,714.84	Facility		$640.00	$640.00	$3,714.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,098.70 / $4,087.45 / $7,225.89	Professional		$3,098.70	$4,087.45	$7,225.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,110.27 / $3,981.15 / $4,684.08	Professional		$3,110.27	$3,981.15	$4,684.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,271.66 / $4,221.17 / $6,263.16	Facility		$3,271.66	$4,221.17	$6,263.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,999.98 / $4,620.00 / $6,131.00	Professional		$3,999.98	$4,620.00	$6,131.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3,026.14 / $4,024.84 / $8,128.61	Facility		$3,026.14	$4,024.84	$8,128.61
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3,026.14 / $4,024.84 / $8,128.61	Professional		$3,026.14	$4,024.84	$8,128.61
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,475.00 / $21,639.00	Facility		$6,423.00	$11,475.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,541.94 / $3,954.68 / $6,435.36	Professional		$2,541.94	$3,954.68	$6,435.36