Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,482.77 / $5,282.00 / $10,767.00	Facility		$3,482.77	$5,282.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,895.30 / $3,482.77 / $4,373.01	Professional		$2,895.30	$3,482.77	$4,373.01
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 $2,723.91 / $3,468.02 / $4,833.74	Professional		$2,723.91	$3,468.02	$4,833.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,620.55 / $4,020.50 / $7,839.97	Professional		$3,620.55	$4,020.50	$7,839.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,786.00 / $3,733.19 / $6,995.31	Professional		$2,786.00	$3,733.19	$6,995.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,802.44 / $3,362.93 / $4,147.60	Professional		$2,802.44	$3,362.93	$4,147.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,392.02 / $4,112.84 / $5,947.60	Facility		$3,392.02	$4,112.84	$5,947.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,604.00 / $4,318.00 / $6,890.09	Professional		$3,604.00	$4,318.00	$6,890.09
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,070.00 / $3,794.36 / $7,348.10	Facility		$2,070.00	$3,794.36	$7,348.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,070.00 / $3,794.36 / $7,348.10	Professional		$2,070.00	$3,794.36	$7,348.10
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 $2,572.17 / $3,480.09 / $6,675.45	Professional		$2,572.17	$3,480.09	$6,675.45