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 $3,398.18 / $4,406.14 / $5,274.77	Professional		$3,398.18	$4,406.14	$5,274.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,362.13 / $8,012.60 / $11,216.04	Facility		$5,362.13	$8,012.60	$11,216.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,504.31 / $4,566.14 / $6,372.15	Professional		$3,504.31	$4,566.14	$6,372.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,162.37 / $4,533.26 / $8,116.62	Professional		$4,162.37	$4,533.26	$8,116.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $4,429.10	Facility		$490.00	$610.00	$4,429.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,176.14 / $4,630.02 / $8,434.10	Professional		$3,176.14	$4,630.02	$8,434.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,587.48 / $4,431.60 / $6,000.15	Professional		$3,587.48	$4,431.60	$6,000.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,745.23 / $4,846.77 / $7,198.06	Facility		$3,745.23	$4,846.77	$7,198.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,505.00 / $5,278.40 / $8,948.28	Professional		$4,505.00	$5,278.40	$8,948.28
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3,548.02 / $4,515.58 / $8,143.25	Facility		$3,548.02	$4,515.58	$8,143.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3,548.02 / $4,515.58 / $8,143.25	Professional		$3,548.02	$4,515.58	$8,143.25
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 $3,049.40 / $4,509.01 / $7,286.21	Professional		$3,049.40	$4,509.01	$7,286.21