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 $3,190.90 / $4,039.81 / $4,910.76	Professional		$3,190.90	$4,039.81	$4,910.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,289.31 / $4,206.28 / $5,945.99	Professional		$3,289.31	$4,206.28	$5,945.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,869.86 / $3,869.86 / $7,546.23	Professional		$3,869.86	$3,869.86	$7,546.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,227.70 / $14,024.65 / $16,886.06	Professional		$4,227.70	$14,024.65	$16,886.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,300.21 / $4,076.73 / $5,779.84	Professional		$3,300.21	$4,076.73	$5,779.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,658.03 / $4,601.74 / $6,665.69	Facility		$3,658.03	$4,601.74	$6,665.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,209.00 / $4,859.00 / $6,678.00	Professional		$4,209.00	$4,859.00	$6,678.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3,444.20 / $4,323.78 / $7,638.92	Facility		$3,444.20	$4,323.78	$7,638.92
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3,444.20 / $4,323.78 / $7,638.92	Professional		$3,444.20	$4,323.78	$7,638.92
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 $2,757.74 / $4,101.92 / $6,896.67	Professional		$2,757.74	$4,101.92	$6,896.67