Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,947.40 / $3,947.40 / $3,947.40	Facility		$3,947.40	$3,947.40	$3,947.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,854.52 / $3,947.40 / $3,947.40	Professional		$3,854.52	$3,947.40	$3,947.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,914.61 / $4,039.83 / $6,509.67	Facility		$1,914.61	$4,039.83	$6,509.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,715.20 / $3,715.20 / $4,568.20	Professional		$3,715.20	$3,715.20	$4,568.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,715.20 / $3,715.20 / $3,715.20	Professional		$3,715.20	$3,715.20	$3,715.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,947.40 / $3,947.40 / $3,947.40	Facility		$3,947.40	$3,947.40	$3,947.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,947.40 / $3,947.40 / $3,947.40	Professional		$3,947.40	$3,947.40	$3,947.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,750.03 / $7,210.43 / $8,482.86	Professional		$3,750.03	$7,210.43	$8,482.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,947.40 / $4,894.78 / $6,947.42	Facility		$3,947.40	$4,894.78	$6,947.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $9,025.85 / $10,870.00 / $14,896.92	Professional		$9,025.85	$10,870.00	$14,896.92
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3,676.50 / $4,411.80 / $5,688.90	Facility		$3,676.50	$4,411.80	$5,688.90
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3,676.50 / $4,411.80 / $5,688.90	Professional		$3,676.50	$4,411.80	$5,688.90
United Facility/Professional Professional Modifier Low / Median / High Price $3,870.00 / $3,870.00 / $4,644.00	Professional		$3,870.00	$3,870.00	$4,644.00