Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,538.00 / $5,556.60 / $11,024.00	Facility		$2,538.00	$5,556.60	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,608.50 / $5,556.60 / $7,706.16	Professional		$4,608.50	$5,556.60	$7,706.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,385.00 / $10,311.04 / $14,433.40	Facility		$6,385.00	$10,311.04	$14,433.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,409.26 / $5,745.29 / $8,044.45	Professional		$4,409.26	$5,745.29	$8,044.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,900.96 / $5,445.52 / $10,618.76	Professional		$4,900.96	$5,445.52	$10,618.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $5,597.96	Facility		$490.00	$610.00	$5,597.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,986.53 / $5,944.35 / $10,385.59	Professional		$3,986.53	$5,944.35	$10,385.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,490.29 / $5,546.82 / $8,115.68	Professional		$4,490.29	$5,546.82	$8,115.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4,577.32 / $6,170.65 / $9,168.02	Facility		$4,577.32	$6,170.65	$9,168.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5,936.00 / $6,913.00 / $11,243.35	Professional		$5,936.00	$6,913.00	$11,243.35
Sentara Facility/Professional Facility Modifier Low / Median / High Price $4,212.56 / $5,874.35 / $10,401.18	Facility		$4,212.56	$5,874.35	$10,401.18
Sentara Facility/Professional Professional Modifier Low / Median / High Price $4,212.56 / $5,874.35 / $10,401.18	Professional		$4,212.56	$5,874.35	$10,401.18
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 $3,819.28 / $5,643.99 / $9,766.48	Professional		$3,819.28	$5,643.99	$9,766.48