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 / $12,393.80	Facility		$3,633.00	$5,282.00	$12,393.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,184.41 / $5,070.38 / $6,180.85	Professional		$4,184.41	$5,070.38	$6,180.85
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 $3,986.85 / $5,194.89 / $7,270.14	Professional		$3,986.85	$5,194.89	$7,270.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,871.84 / $5,265.00 / $10,266.75	Professional		$4,871.84	$5,265.00	$10,266.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $5,083.51	Facility		$490.00	$610.00	$5,083.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,318.26 / $5,359.03 / $9,722.70	Professional		$2,318.26	$5,359.03	$9,722.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,034.32 / $4,983.57 / $7,676.62	Professional		$4,034.32	$4,983.57	$7,676.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,255.54 / $5,637.34 / $8,371.36	Facility		$3,255.54	$5,637.34	$8,371.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5,321.00 / $6,442.00 / $10,168.10	Professional		$5,321.00	$6,442.00	$10,168.10
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,502.32 / $5,504.11 / $9,816.73	Facility		$2,502.32	$5,504.11	$9,816.73
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,502.32 / $5,504.11 / $9,816.73	Professional		$2,502.32	$5,504.11	$9,816.73
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 $2,558.50 / $4,747.87 / $8,755.48	Professional		$2,558.50	$4,747.87	$8,755.48