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 $3,106.15 / $3,756.62 / $4,319.85	Professional		$3,106.15	$3,756.62	$4,319.85
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 $3,060.96 / $3,914.28 / $5,368.43	Professional		$3,060.96	$3,914.28	$5,368.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,733.61 / $4,181.64 / $7,280.54	Professional		$3,733.61	$4,181.64	$7,280.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,085.20 / $4,351.04 / $8,283.79	Professional		$3,085.20	$4,351.04	$8,283.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,059.52 / $3,671.42 / $4,537.06	Professional		$3,059.52	$3,671.42	$4,537.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,427.23 / $4,389.54 / $6,271.83	Facility		$3,427.23	$4,389.54	$6,271.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,862.00 / $4,573.00 / $7,551.65	Professional		$3,862.00	$4,573.00	$7,551.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,950.12 / $4,079.30 / $7,659.48	Facility		$2,950.12	$4,079.30	$7,659.48
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,950.12 / $4,079.30 / $7,659.48	Professional		$2,950.12	$4,079.30	$7,659.48
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 $2,697.42 / $4,112.81 / $7,184.02	Professional		$2,697.42	$4,112.81	$7,184.02