Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,633.00 / $5,589.00 / $11,024.00	Facility		$3,633.00	$5,589.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,995.72 / $3,950.99 / $5,068.53	Professional		$2,995.72	$3,950.99	$5,068.53
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 $3,492.92 / $4,489.24 / $7,422.06	Professional		$3,492.92	$4,489.24	$7,422.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,614.40 / $4,301.14 / $9,951.00	Professional		$3,614.40	$4,301.14	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $4,298.76	Facility		$640.00	$640.00	$4,298.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,497.94 / $4,658.47 / $8,371.46	Professional		$3,497.94	$4,658.47	$8,371.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,595.45 / $4,602.18 / $5,410.34	Professional		$3,595.45	$4,602.18	$5,410.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,741.77 / $4,840.97 / $7,230.31	Facility		$3,741.77	$4,840.97	$7,230.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,119.00 / $5,215.13 / $7,103.00	Professional		$4,119.00	$5,215.13	$7,103.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3,361.92 / $4,634.05 / $9,380.40	Facility		$3,361.92	$4,634.05	$9,380.40
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3,361.92 / $4,634.05 / $9,380.40	Professional		$3,361.92	$4,634.05	$9,380.40
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 $3,004.79 / $4,680.55 / $7,461.45	Professional		$3,004.79	$4,680.55	$7,461.45