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 $3,413.48 / $3,897.12 / $4,991.60	Professional		$3,413.48	$3,897.12	$4,991.60
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 $3,058.63 / $3,894.18 / $5,427.72	Professional		$3,058.63	$3,894.18	$5,427.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,064.92 / $4,524.28 / $8,822.35	Professional		$4,064.92	$4,524.28	$8,822.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,328.66 / $4,634.72 / $7,820.94	Professional		$3,328.66	$4,634.72	$7,820.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,133.44 / $3,760.13 / $4,637.49	Professional		$3,133.44	$3,760.13	$4,637.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,741.95 / $4,605.68 / $6,366.48	Facility		$3,741.95	$4,605.68	$6,366.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,282.00 / $4,937.00 / $7,718.26	Professional		$4,282.00	$4,937.00	$7,718.26
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,820.11 / $4,434.63 / $8,214.92	Facility		$2,820.11	$4,434.63	$8,214.92
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,820.11 / $4,434.63 / $8,214.92	Professional		$2,820.11	$4,434.63	$8,214.92
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 $3,017.11 / $5,075.78 / $7,483.27	Professional		$3,017.11	$5,075.78	$7,483.27