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 $3,045.10 / $3,663.84 / $4,578.80	Professional		$3,045.10	$3,663.84	$4,578.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,955.00 / $11,210.00 / $17,424.00	Facility		$8,955.00	$11,210.00	$17,424.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,876.69 / $3,657.33 / $5,104.85	Professional		$2,876.69	$3,657.33	$5,104.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,823.73 / $4,154.26 / $8,100.81	Professional		$3,823.73	$4,154.26	$8,100.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,130.81 / $4,235.02 / $7,352.69	Professional		$3,130.81	$4,235.02	$7,352.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,947.20 / $3,536.64 / $4,361.85	Professional		$2,947.20	$3,536.64	$4,361.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,516.69 / $4,311.47 / $5,985.38	Facility		$3,516.69	$4,311.47	$5,985.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,979.00 / $4,525.00 / $7,260.05	Professional		$3,979.00	$4,525.00	$7,260.05
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,652.49 / $4,051.57 / $7,723.69	Facility		$2,652.49	$4,051.57	$7,723.69
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,652.49 / $4,051.57 / $7,723.69	Professional		$2,652.49	$4,051.57	$7,723.69
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 $2,836.61 / $4,631.22 / $7,035.59	Professional		$2,836.61	$4,631.22	$7,035.59