Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,633.00 / $5,412.00 / $12,836.00	Facility		$3,633.00	$5,412.00	$12,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,431.32 / $5,321.24 / $6,471.05	Professional		$4,431.32	$5,321.24	$6,471.05
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 $4,324.38 / $5,529.90 / $7,817.06	Professional		$4,324.38	$5,529.90	$7,817.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $5,211.66 / $5,211.66 / $10,162.74	Professional		$5,211.66	$5,211.66	$10,162.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $5,349.05	Facility		$490.00	$610.00	$5,349.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,139.72 / $5,755.56 / $10,433.68	Professional		$4,139.72	$5,755.56	$10,433.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,331.85 / $5,351.12 / $7,655.02	Professional		$4,331.85	$5,351.12	$7,655.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4,813.59 / $6,051.27 / $8,824.28	Facility		$4,813.59	$6,051.27	$8,824.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5,571.83 / $6,434.00 / $8,823.00	Professional		$5,571.83	$6,434.00	$8,823.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $4,478.33 / $5,665.22 / $9,929.00	Facility		$4,478.33	$5,665.22	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $4,478.33 / $5,665.22 / $9,929.00	Professional		$4,478.33	$5,665.22	$9,929.00
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 $3,644.51 / $5,466.77 / $9,249.03	Professional		$3,644.51	$5,466.77	$9,249.03