Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,647.31 / $5,210.58 / $13,535.23	Facility		$1,647.31	$5,210.58	$13,535.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,087.97 / $5,210.58 / $5,210.58	Professional		$5,087.97	$5,210.58	$5,210.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,074.81 / $4,377.85 / $7,054.35	Facility		$2,074.81	$4,377.85	$7,054.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,904.07 / $4,904.07 / $6,030.04	Professional		$4,904.07	$4,904.07	$6,030.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $7,356.11 / $7,356.11 / $7,356.11	Professional		$7,356.11	$7,356.11	$7,356.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,210.58 / $5,210.58 / $5,210.58	Facility		$5,210.58	$5,210.58	$5,210.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,210.58 / $5,210.58 / $5,210.58	Professional		$5,210.58	$5,210.58	$5,210.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,634.60 / $3,099.53 / $5,823.59	Professional		$2,634.60	$3,099.53	$5,823.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $5,210.58 / $6,130.09 / $8,597.45	Facility		$5,210.58	$6,130.09	$8,597.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,371.10 / $4,060.00 / $5,266.20	Professional		$3,371.10	$4,060.00	$5,266.20
Sentara Facility/Professional Facility Modifier Low / Median / High Price $4,852.99 / $5,823.59 / $7,509.36	Facility		$4,852.99	$5,823.59	$7,509.36
Sentara Facility/Professional Professional Modifier Low / Median / High Price $4,852.99 / $5,823.59 / $7,509.36	Professional		$4,852.99	$5,823.59	$7,509.36
United Facility/Professional Professional Modifier Low / Median / High Price $5,108.41 / $5,108.41 / $6,130.09	Professional		$5,108.41	$5,108.41	$6,130.09