Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,604.47 / $5,282.00 / $10,767.00	Facility		$3,604.47	$5,282.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,131.67 / $3,604.47 / $4,138.27	Professional		$3,131.67	$3,604.47	$4,138.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,738.20 / $20,977.18 / $29,216.95	Facility		$12,738.20	$20,977.18	$29,216.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,975.22 / $3,804.63 / $5,218.05	Professional		$2,975.22	$3,804.63	$5,218.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,595.71 / $4,027.20 / $7,011.63	Professional		$3,595.71	$4,027.20	$7,011.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,032.14 / $4,259.83 / $8,011.58	Professional		$3,032.14	$4,259.83	$8,011.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,979.65 / $3,575.58 / $4,413.18	Professional		$2,979.65	$3,575.58	$4,413.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,320.25 / $4,281.50 / $6,047.07	Facility		$3,320.25	$4,281.50	$6,047.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,968.00 / $4,408.17 / $7,323.36	Professional		$3,968.00	$4,408.17	$7,323.36
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3,001.51 / $3,986.34 / $7,391.30	Facility		$3,001.51	$3,986.34	$7,391.30
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3,001.51 / $3,986.34 / $7,391.30	Professional		$3,001.51	$3,986.34	$7,391.30
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 $2,610.25 / $4,043.70 / $6,947.94	Professional		$2,610.25	$4,043.70	$6,947.94