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 $2,661.53 / $3,960.79 / $4,455.39	Professional		$2,661.53	$3,960.79	$4,455.39
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 $3,071.39 / $4,003.64 / $5,584.92	Professional		$3,071.39	$4,003.64	$5,584.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,204.86 / $3,589.44 / $6,249.48	Professional		$3,204.86	$3,589.44	$6,249.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $3,904.99	Facility		$490.00	$610.00	$3,904.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,520.73 / $3,697.12 / $7,043.22	Professional		$2,520.73	$3,697.12	$7,043.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,075.22 / $3,798.81 / $4,659.76	Professional		$3,075.22	$3,798.81	$4,659.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,105.00 / $4,144.60 / $6,472.63	Facility		$3,105.00	$4,144.60	$6,472.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,380.00 / $4,104.00 / $6,616.00	Professional		$3,380.00	$4,104.00	$6,616.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,681.64 / $3,594.23 / $7,321.45	Facility		$2,681.64	$3,594.23	$7,321.45
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,681.64 / $3,594.23 / $7,321.45	Professional		$2,681.64	$3,594.23	$7,321.45
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 $2,445.31 / $3,655.15 / $6,900.72	Professional		$2,445.31	$3,655.15	$6,900.72