Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,633.00 / $5,282.00 / $10,767.00	Facility		$3,633.00	$5,282.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,088.66 / $3,688.72 / $4,312.60	Professional		$3,088.66	$3,688.72	$4,312.60
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 $3,055.12 / $3,906.81 / $5,358.18	Professional		$3,055.12	$3,906.81	$5,358.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,702.89 / $4,147.24 / $7,220.64	Professional		$3,702.89	$4,147.24	$7,220.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,977.70 / $4,157.96 / $8,174.21	Professional		$2,977.70	$4,157.96	$8,174.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,052.27 / $3,662.72 / $4,531.24	Professional		$3,052.27	$3,662.72	$4,531.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,435.87 / $4,339.63 / $6,233.94	Facility		$3,435.87	$4,339.63	$6,233.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,707.00 / $4,315.00 / $7,551.46	Professional		$3,707.00	$4,315.00	$7,551.46
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,749.78 / $4,059.77 / $7,677.81	Facility		$2,749.78	$4,059.77	$7,677.81
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,749.78 / $4,059.77 / $7,677.81	Professional		$2,749.78	$4,059.77	$7,677.81
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 $2,543.32 / $3,693.17 / $7,088.99	Professional		$2,543.32	$3,693.17	$7,088.99