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 $3,291.00 / $3,961.38 / $4,945.85	Professional		$3,291.00	$3,961.38	$4,945.85
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 $3,108.76 / $3,952.37 / $5,516.66	Professional		$3,108.76	$3,952.37	$5,516.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,131.35 / $4,498.54 / $8,772.15	Professional		$4,131.35	$4,498.54	$8,772.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,381.38 / $4,576.01 / $7,950.37	Professional		$3,381.38	$4,576.01	$7,950.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,184.03 / $3,820.84 / $4,712.35	Professional		$3,184.03	$3,820.84	$4,712.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,800.34 / $4,660.42 / $6,471.46	Facility		$3,800.34	$4,660.42	$6,471.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,298.00 / $4,888.00 / $7,844.59	Professional		$4,298.00	$4,888.00	$7,844.59
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,865.63 / $4,401.79 / $8,350.95	Facility		$2,865.63	$4,401.79	$8,350.95
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,865.63 / $4,401.79 / $8,350.95	Professional		$2,865.63	$4,401.79	$8,350.95
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 $3,067.01 / $4,633.87 / $7,607.03	Professional		$3,067.01	$4,633.87	$7,607.03