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 $3,426.21 / $3,989.34 / $4,407.85	Professional		$3,426.21	$3,989.34	$4,407.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,196.80 / $4,087.99 / $5,606.67	Professional		$3,196.80	$4,087.99	$5,606.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,186.89 / $4,689.33 / $8,164.45	Professional		$4,186.89	$4,689.33	$8,164.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,069.59 / $4,551.71 / $8,923.04	Professional		$2,069.59	$4,551.71	$8,923.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,240.42 / $3,888.50 / $4,795.82	Professional		$3,240.42	$3,888.50	$4,795.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,240.42 / $4,561.64 / $6,530.06	Facility		$3,240.42	$4,561.64	$6,530.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,233.60 / $4,951.00 / $7,979.76	Professional		$4,233.60	$4,951.00	$7,979.76
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,069.01 / $4,410.21 / $8,105.09	Facility		$2,069.01	$4,410.21	$8,105.09
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,069.01 / $4,410.21 / $8,105.09	Professional		$2,069.01	$4,410.21	$8,105.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,130.00 / $5,226.00	Facility		$1,547.00	$3,130.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,241.30 / $4,050.53 / $7,702.20	Professional		$2,241.30	$4,050.53	$7,702.20