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 $3,178.56 / $3,826.52 / $4,952.81	Professional		$3,178.56	$3,826.52	$4,952.81
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 $3,016.83 / $3,838.83 / $5,358.18	Professional		$3,016.83	$3,838.83	$5,358.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,009.52 / $4,483.57 / $8,742.95	Professional		$4,009.52	$4,483.57	$8,742.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,286.03 / $4,454.26 / $7,806.62	Professional		$3,286.03	$4,454.26	$7,806.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,105.99 / $3,727.19 / $4,596.87	Professional		$3,105.99	$3,727.19	$4,596.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,557.92 / $4,589.85 / $6,466.82	Facility		$3,557.92	$4,589.85	$6,466.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,193.00 / $6,045.00 / $7,635.89	Professional		$4,193.00	$6,045.00	$7,635.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,795.39 / $4,348.31 / $8,199.87	Facility		$2,795.39	$4,348.31	$8,199.87
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,795.39 / $4,348.31 / $8,199.87	Professional		$2,795.39	$4,348.31	$8,199.87
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 $3,010.68 / $4,616.38 / $7,086.01	Professional		$3,010.68	$4,616.38	$7,086.01