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 / $11,603.60	Facility		$3,633.00	$5,282.00	$11,603.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,939.74 / $4,800.77 / $8,704.28	Professional		$3,939.74	$4,800.77	$8,704.28
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 $3,706.62 / $4,716.57 / $6,583.33	Professional		$3,706.62	$4,716.57	$6,583.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,705.16 / $4,744.60 / $9,251.99	Professional		$4,705.16	$4,744.60	$9,251.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,958.30 / $4,705.93 / $9,610.15	Professional		$1,958.30	$4,705.93	$9,610.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,815.67 / $4,578.80 / $5,647.19	Professional		$3,815.67	$4,578.80	$5,647.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,503.67 / $5,122.84 / $7,842.72	Facility		$2,503.67	$5,122.84	$7,842.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,125.46 / $5,347.00 / $9,376.27	Professional		$2,125.46	$5,347.00	$9,376.27
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,825.99 / $4,864.97 / $9,929.00	Facility		$1,825.99	$4,864.97	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,825.99 / $4,864.97 / $9,929.00	Professional		$1,825.99	$4,864.97	$9,929.00
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 $1,774.15 / $4,256.18 / $8,361.42	Professional		$1,774.15	$4,256.18	$8,361.42