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 $3,589.51 / $4,210.30 / $4,731.91	Professional		$3,589.51	$4,210.30	$4,731.91
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 $3,395.95 / $4,342.64 / $5,955.94	Professional		$3,395.95	$4,342.64	$5,955.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,124.92 / $4,619.91 / $8,043.59	Professional		$4,124.92	$4,619.91	$8,043.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,474.71 / $4,868.42 / $9,205.45	Professional		$3,474.71	$4,868.42	$9,205.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,396.35 / $4,075.62 / $5,026.66	Professional		$3,396.35	$4,075.62	$5,026.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,787.70 / $4,961.04 / $6,894.95	Facility		$3,787.70	$4,961.04	$6,894.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,601.00 / $5,049.53 / $8,349.26	Professional		$4,601.00	$5,049.53	$8,349.26
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3,422.11 / $4,577.13 / $8,414.92	Facility		$3,422.11	$4,577.13	$8,414.92
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3,422.11 / $4,577.13 / $8,414.92	Professional		$3,422.11	$4,577.13	$8,414.92
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 $2,997.54 / $4,621.57 / $7,983.32	Professional		$2,997.54	$4,621.57	$7,983.32