Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,633.00 / $5,048.00 / $9,539.00	Facility		$3,633.00	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,819.65 / $4,062.09 / $6,225.14	Professional		$3,819.65	$4,062.09	$6,225.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,599.71 / $3,271.24 / $4,456.07	Professional		$2,599.71	$3,271.24	$4,456.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,905.00 / $6,433.00 / $8,031.00	Professional		$4,905.00	$6,433.00	$8,031.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,801.84 / $5,751.92 / $10,113.32	Professional		$3,801.84	$5,751.92	$10,113.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,903.70 / $4,684.43 / $5,676.35	Professional		$3,903.70	$4,684.43	$5,676.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,819.65 / $4,965.55 / $7,006.59	Facility		$3,819.65	$4,965.55	$7,006.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5,148.85 / $6,869.00 / $9,203.06	Professional		$5,148.85	$6,869.00	$9,203.06
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3,821.88 / $5,798.43 / $9,929.00	Facility		$3,821.88	$5,798.43	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3,821.88 / $5,798.43 / $9,929.00	Professional		$3,821.88	$5,798.43	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,130.00 / $5,226.00	Facility		$1,547.00	$3,130.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,250.27 / $5,256.32 / $8,068.32	Professional		$3,250.27	$5,256.32	$8,068.32