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 / $11,748.98	Facility		$3,235.94	$4,786.30	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,801.89 / $7,079.46	Professional		$3,162.28	$3,801.89	$7,079.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $8,709.64 / $12,302.69	Facility		$5,888.44	$8,709.64	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,570.88 / $6,918.31	Professional		$3,311.31	$4,570.88	$6,918.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,073.80 / $5,495.41	Professional		$3,630.78	$4,073.80	$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 $2,398.83 / $4,073.80 / $6,918.31	Professional		$2,398.83	$4,073.80	$6,918.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,801.89 / $6,309.57	Professional		$3,162.28	$3,801.89	$6,309.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,265.80 / $5,248.07	Professional		$3,981.07	$4,265.80	$5,248.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $4,466.84 / $6,918.31	Facility		$3,235.94	$4,466.84	$6,918.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $6,309.57	Professional		$2,630.27	$2,630.27	$6,309.57
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $4,073.80 / $7,413.10	Facility		$2,951.21	$4,073.80	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $4,073.80 / $7,413.10	Professional		$2,951.21	$4,073.80	$7,413.10
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 $2,691.53 / $3,890.45 / $6,606.93	Professional		$2,691.53	$3,890.45	$6,606.93