Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,152.35 / $5,048.00 / $9,539.00	Facility		$3,152.35	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,539.21 / $2,950.87 / $3,624.84	Professional		$2,539.21	$2,950.87	$3,624.84
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 $2,574.17 / $3,330.68 / $5,506.61	Professional		$2,574.17	$3,330.68	$5,506.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,153.97 / $3,153.97 / $5,961.00	Professional		$3,153.97	$3,153.97	$5,961.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,700.00 / $1,700.00 / $3,193.94	Facility		$1,700.00	$1,700.00	$3,193.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,626.43 / $3,438.94 / $6,310.27	Professional		$2,626.43	$3,438.94	$6,310.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,626.43 / $3,398.91 / $4,016.90	Professional		$2,626.43	$3,398.91	$4,016.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,679.50 / $3,629.26 / $5,410.72	Facility		$2,679.50	$3,629.26	$5,410.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,391.00 / $3,842.00 / $5,304.00	Professional		$3,391.00	$3,842.00	$5,304.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,627.21 / $3,501.68 / $10,487.49	Facility		$2,627.21	$3,501.68	$10,487.49
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,627.21 / $3,501.68 / $10,487.49	Professional		$2,627.21	$3,501.68	$10,487.49
United Facility/Professional Facility Modifier Low / Median / High Price $7,621.00 / $20,974.00 / $40,876.00	Facility		$7,621.00	$20,974.00	$40,876.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,080.86 / $3,337.04 / $5,386.65	Professional		$2,080.86	$3,337.04	$5,386.65