Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,554.27 / $7,849.00 / $16,589.00	Facility		$3,554.27	$7,849.00	$16,589.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,979.40 / $3,554.27 / $4,254.91	Professional		$2,979.40	$3,554.27	$4,254.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,525.00 / $11,065.00 / $12,418.00	Facility		$8,525.00	$11,065.00	$12,418.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,902.81 / $3,696.17 / $5,349.81	Professional		$2,902.81	$3,696.17	$5,349.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,647.31 / $3,654.99 / $7,127.23	Professional		$3,647.31	$3,654.99	$7,127.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $3,584.75	Facility		$490.00	$610.00	$3,584.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,968.96 / $4,147.60 / $7,252.29	Professional		$2,968.96	$4,147.60	$7,252.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,892.44 / $3,536.16 / $4,361.26	Professional		$2,892.44	$3,536.16	$4,361.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,247.79 / $4,266.93 / $6,006.72	Facility		$3,247.79	$4,266.93	$6,006.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,037.00 / $4,649.84 / $7,220.78	Professional		$4,037.00	$4,649.84	$7,220.78
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3,209.60 / $4,113.87 / $6,980.24	Facility		$3,209.60	$4,113.87	$6,980.24
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3,209.60 / $4,113.87 / $6,980.24	Professional		$3,209.60	$4,113.87	$6,980.24
United Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $2,945.00 / $5,445.00	Facility		$425.00	$2,945.00	$5,445.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,623.96 / $3,970.92 / $6,190.42	Professional		$2,623.96	$3,970.92	$6,190.42