Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $4,786.30 / $12,882.50	Facility		$3,235.94	$4,786.30	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,073.80 / $7,585.78	Professional		$3,388.44	$4,073.80	$7,585.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $19,054.61 / $26,302.68	Facility		$8,511.38	$19,054.61	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,786.30 / $7,413.10	Professional		$3,467.37	$4,786.30	$7,413.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,981.07 / $5,495.41	Professional		$3,630.78	$3,981.07	$5,495.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $524.81 / $616.60	Facility		$489.78	$524.81	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $4,265.80 / $7,413.10	Professional		$1,778.28	$4,265.80	$7,413.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,073.80 / $6,606.93	Professional		$3,388.44	$4,073.80	$6,606.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,981.07 / $5,623.41	Professional		$2,454.71	$3,981.07	$5,623.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,677.35 / $7,413.10	Facility		$2,818.38	$4,677.35	$7,413.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $3,715.35	Professional		$2,511.89	$2,511.89	$3,715.35
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $4,365.16 / $8,317.64	Facility		$2,089.30	$4,365.16	$8,317.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $4,365.16 / $8,317.64	Professional		$2,089.30	$4,365.16	$8,317.64
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $3,019.95 / $6,309.57	Facility		$407.38	$3,019.95	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,890.45 / $7,244.36	Professional		$2,187.76	$3,890.45	$7,244.36