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 / $10,767.00	Facility		$3,633.00	$5,048.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,966.71 / $4,032.26 / $5,327.71	Professional		$3,966.71	$4,032.26	$5,327.71
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 $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 $3,496.00 / $4,646.00 / $6,608.00	Professional		$3,496.00	$4,646.00	$6,608.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,013.70 / $6,072.26 / $10,676.47	Professional		$4,013.70	$6,072.26	$10,676.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,121.01 / $4,945.21 / $5,992.37	Professional		$4,121.01	$4,945.21	$5,992.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4,032.26 / $5,227.18 / $7,379.04	Facility		$4,032.26	$5,227.18	$7,379.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5,435.27 / $7,252.00 / $9,715.61	Professional		$5,435.27	$7,252.00	$9,715.61
Sentara Facility/Professional Facility Modifier Low / Median / High Price $4,034.78 / $6,121.37 / $9,929.00	Facility		$4,034.78	$6,121.37	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $4,034.78 / $6,121.37 / $9,929.00	Professional		$4,034.78	$6,121.37	$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 $3,355.29 / $5,548.90 / $8,600.87	Professional		$3,355.29	$5,548.90	$8,600.87