Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,619.82 / $5,282.00 / $10,767.00	Facility		$3,619.82	$5,282.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,917.73 / $3,619.82 / $4,705.51	Professional		$2,917.73	$3,619.82	$4,705.51
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 $2,862.42 / $3,644.37 / $5,079.52	Professional		$2,862.42	$3,644.37	$5,079.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,805.11 / $4,191.72 / $8,173.85	Professional		$3,805.11	$4,191.72	$8,173.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,050.41 / $4,094.51 / $7,350.99	Professional		$3,050.41	$4,094.51	$7,350.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,945.18 / $3,534.22 / $4,358.87	Professional		$2,945.18	$3,534.22	$4,358.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,542.80 / $4,427.37 / $6,395.21	Facility		$3,542.80	$4,427.37	$6,395.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,782.00 / $4,511.00 / $7,240.54	Professional		$3,782.00	$4,511.00	$7,240.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,471.00 / $3,959.44 / $7,721.88	Facility		$2,471.00	$3,959.44	$7,721.88
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,471.00 / $3,959.44 / $7,721.88	Professional		$2,471.00	$3,959.44	$7,721.88
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 $2,835.92 / $4,155.74 / $7,083.47	Professional		$2,835.92	$4,155.74	$7,083.47