Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,660.83 / $4,172.32 / $8,296.60	Facility		$3,660.83	$4,172.32	$8,296.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,660.82 / $3,697.44 / $3,843.88	Professional		$3,660.82	$3,697.44	$3,843.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,660.83 / $7,724.35 / $12,446.82	Facility		$3,660.83	$7,724.35	$12,446.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,660.83 / $3,660.83 / $3,660.83	Professional		$3,660.83	$3,660.83	$3,660.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,715.31 / $5,365.70 / $8,097.33	Professional		$4,715.31	$5,365.70	$8,097.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,453.62 / $3,453.62 / $3,660.83	Facility		$3,453.62	$3,453.62	$3,660.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,660.83 / $3,660.83 / $3,660.83	Professional		$3,660.83	$3,660.83	$3,660.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,111.71 / $4,393.00 / $4,611.45	Professional		$3,111.71	$4,393.00	$4,611.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,660.83 / $3,987.06 / $4,515.05	Facility		$3,660.83	$3,987.06	$4,515.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $432.00 / $432.00 / $432.00	Professional		$432.00	$432.00	$432.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3,477.79 / $3,693.77 / $4,685.85	Facility		$3,477.79	$3,693.77	$4,685.85
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3,477.79 / $3,693.77 / $4,685.85	Professional		$3,477.79	$3,693.77	$4,685.85
United Facility/Professional Professional Modifier Low / Median / High Price $3,551.01 / $3,660.83 / $4,594.34	Professional		$3,551.01	$3,660.83	$4,594.34