Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,226.00 / $4,796.00 / $11,562.80	Facility		$3,226.00	$4,796.00	$11,562.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,921.00 / $4,701.34 / $5,500.76	Professional		$3,921.00	$4,701.34	$5,500.76
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 $3,888.29 / $4,972.24 / $6,819.42	Professional		$3,888.29	$4,972.24	$6,819.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,305.56 / $4,822.22 / $8,395.84	Professional		$4,305.56	$4,822.22	$8,395.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,545.90 / $5,133.10 / $10,544.54	Professional		$3,545.90	$5,133.10	$10,544.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,915.66 / $4,698.79 / $5,811.43	Professional		$3,915.66	$4,698.79	$5,811.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4,356.50 / $5,446.23 / $7,945.26	Facility		$4,356.50	$5,446.23	$7,945.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,278.00 / $5,460.00 / $8,920.00	Professional		$4,278.00	$5,460.00	$8,920.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3,655.97 / $4,815.31 / $9,711.84	Facility		$3,655.97	$4,815.31	$9,711.84
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3,655.97 / $4,815.31 / $9,711.84	Professional		$3,655.97	$4,815.31	$9,711.84
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 $3,263.18 / $4,992.39 / $9,389.17	Professional		$3,263.18	$4,992.39	$9,389.17