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 / $12,250.60	Facility		$3,633.00	$5,282.00	$12,250.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,130.63 / $5,031.38 / $6,104.64	Professional		$4,130.63	$5,031.38	$6,104.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,807.00 / $17,284.09 / $24,194.30	Facility		$7,807.00	$17,284.09	$24,194.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,930.93 / $5,122.03 / $7,168.17	Professional		$3,930.93	$5,122.03	$7,168.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,799.21 / $4,907.52 / $9,569.66	Professional		$4,799.21	$4,907.52	$9,569.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $5,017.04	Facility		$490.00	$610.00	$5,017.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,395.62 / $5,299.76 / $9,572.49	Professional		$2,395.62	$5,299.76	$9,572.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,972.02 / $4,906.62 / $7,338.66	Professional		$3,972.02	$4,906.62	$7,338.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,325.31 / $5,568.07 / $8,269.27	Facility		$3,325.31	$5,568.07	$8,269.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5,237.93 / $6,385.00 / $10,022.62	Professional		$5,237.93	$6,385.00	$10,022.62
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,506.46 / $5,431.83 / $9,715.61	Facility		$2,506.46	$5,431.83	$9,715.61
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,506.46 / $5,431.83 / $9,715.61	Professional		$2,506.46	$5,431.83	$9,715.61
United Facility/Professional Facility Modifier Low / Median / High Price $327.00 / $2,397.00 / $5,202.00	Facility		$327.00	$2,397.00	$5,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,651.54 / $4,658.59 / $8,301.77	Professional		$2,651.54	$4,658.59	$8,301.77