Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,320.77 / $5,112.46 / $10,052.60	Facility		$3,320.77	$5,112.46	$10,052.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,813.40 / $3,320.77 / $3,991.00	Professional		$2,813.40	$3,320.77	$3,991.00
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 $2,732.42 / $3,535.43 / $5,845.12	Professional		$2,732.42	$3,535.43	$5,845.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,517.90 / $3,517.90 / $6,648.83	Professional		$3,517.90	$3,517.90	$6,648.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,700.00 / $1,700.00 / $3,393.22	Facility		$1,700.00	$1,700.00	$3,393.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,783.41 / $3,645.36 / $6,713.58	Professional		$2,783.41	$3,645.36	$6,713.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,785.72 / $3,605.05 / $4,260.52	Professional		$2,785.72	$3,605.05	$4,260.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,822.65 / $3,752.47 / $5,616.23	Facility		$2,822.65	$3,752.47	$5,616.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,582.00 / $4,082.00 / $5,630.00	Professional		$3,582.00	$4,082.00	$5,630.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,626.43 / $3,658.00 / $6,487.34	Facility		$2,626.43	$3,658.00	$6,487.34
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,626.43 / $3,658.00 / $6,487.34	Professional		$2,626.43	$3,658.00	$6,487.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $2,959.00 / $5,226.00	Facility		$1,275.00	$2,959.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,303.31 / $3,506.60 / $5,988.14	Professional		$2,303.31	$3,506.60	$5,988.14