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 / $11,506.20	Facility		$3,633.00	$5,282.00	$11,506.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,767.85 / $4,782.27 / $5,826.33	Professional		$3,767.85	$4,782.27	$5,826.33
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 $3,796.24 / $4,946.53 / $6,926.03	Professional		$3,796.24	$4,946.53	$6,926.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,518.07 / $4,908.30 / $8,810.24	Professional		$4,518.07	$4,908.30	$8,810.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $4,800.85	Facility		$490.00	$610.00	$4,800.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,436.36 / $4,992.38 / $9,141.04	Professional		$3,436.36	$4,992.38	$9,141.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,883.50 / $4,797.26 / $6,472.29	Professional		$3,883.50	$4,797.26	$6,472.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4,064.93 / $5,260.50 / $7,812.49	Facility		$4,064.93	$5,260.50	$7,812.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,770.68 / $5,724.00 / $9,692.02	Professional		$4,770.68	$5,724.00	$9,692.02
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3,746.68 / $4,835.93 / $8,822.45	Facility		$3,746.68	$4,835.93	$8,822.45
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3,746.68 / $4,835.93 / $8,822.45	Professional		$3,746.68	$4,835.93	$8,822.45
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 $3,184.21 / $4,763.62 / $7,907.56	Professional		$3,184.21	$4,763.62	$7,907.56