Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,105.08 / $5,048.00 / $9,539.00	Facility		$3,105.08	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,497.01 / $2,902.93 / $3,564.43	Professional		$2,497.01	$2,902.93	$3,564.43
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 $2,531.65 / $3,275.66 / $5,415.64	Professional		$2,531.65	$3,275.66	$5,415.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,101.62 / $3,101.62 / $5,862.06	Professional		$3,101.62	$3,101.62	$5,862.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,700.00 / $1,700.00 / $3,140.83	Facility		$1,700.00	$1,700.00	$3,140.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,583.17 / $3,397.58 / $6,203.37	Professional		$2,583.17	$3,397.58	$6,203.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,583.17 / $3,342.92 / $3,950.73	Professional		$2,583.17	$3,342.92	$3,950.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,816.59 / $3,572.73 / $5,278.64	Facility		$2,816.59	$3,572.73	$5,278.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,347.00 / $3,779.00 / $5,215.00	Professional		$3,347.00	$3,779.00	$5,215.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,583.96 / $3,443.08 / $10,314.83	Facility		$2,583.96	$3,443.08	$10,314.83
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,583.96 / $3,443.08 / $10,314.83	Professional		$2,583.96	$3,443.08	$10,314.83
United Facility/Professional Facility Modifier Low / Median / High Price $7,318.30 / $18,494.00 / $31,849.00	Facility		$7,318.30	$18,494.00	$31,849.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,104.17 / $3,280.70 / $5,295.71	Professional		$2,104.17	$3,280.70	$5,295.71