Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,463.26 / $5,226.75 / $10,272.10	Facility		$3,463.26	$5,226.75	$10,272.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,757.23 / $3,463.26 / $3,936.05	Professional		$2,757.23	$3,463.26	$3,936.05
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 $2,793.78 / $3,614.81 / $5,976.36	Professional		$2,793.78	$3,614.81	$5,976.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,597.90 / $3,597.90 / $6,800.03	Professional		$3,597.90	$3,597.90	$6,800.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,700.00 / $1,700.00 / $3,468.26	Facility		$1,700.00	$1,700.00	$3,468.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,849.16 / $3,767.28 / $6,864.53	Professional		$2,849.16	$3,767.28	$6,864.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,849.16 / $3,687.15 / $4,357.54	Professional		$2,849.16	$3,687.15	$4,357.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,898.52 / $3,878.45 / $5,744.41	Facility		$2,898.52	$3,878.45	$5,744.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,741.00 / $4,164.47 / $5,759.00	Professional		$3,741.00	$4,164.47	$5,759.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,710.27 / $3,761.56 / $6,631.88	Facility		$2,710.27	$3,761.56	$6,631.88
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,710.27 / $3,761.56 / $6,631.88	Professional		$2,710.27	$3,761.56	$6,631.88
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 $2,285.17 / $3,686.68 / $5,769.54	Professional		$2,285.17	$3,686.68	$5,769.54