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 / $12,858.70	Facility		$3,633.00	$5,282.00	$12,858.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,434.84 / $5,271.75 / $8,245.46	Professional		$4,434.84	$5,271.75	$8,245.46
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 $4,175.93 / $5,340.08 / $7,323.91	Professional		$4,175.93	$5,340.08	$7,323.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $5,067.72 / $5,675.85 / $9,882.04	Professional		$5,067.72	$5,675.85	$9,882.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,279.45 / $5,985.55 / $11,614.83	Professional		$4,279.45	$5,985.55	$11,614.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,175.07 / $5,010.08 / $6,179.10	Professional		$4,175.07	$5,010.08	$6,179.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4,657.07 / $6,145.91 / $8,648.58	Facility		$4,657.07	$6,145.91	$8,648.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5,671.00 / $6,308.00 / $10,264.39	Professional		$5,671.00	$6,308.00	$10,264.39
Sentara Facility/Professional Facility Modifier Low / Median / High Price $4,071.00 / $5,633.93 / $9,929.00	Facility		$4,071.00	$5,633.93	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $4,071.00 / $5,633.93 / $9,929.00	Professional		$4,071.00	$5,633.93	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $3,295.00 / $5,790.00	Facility		$1,713.00	$3,295.00	$5,790.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,782.10 / $5,885.49 / $10,128.93	Professional		$3,782.10	$5,885.49	$10,128.93