Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $8,912.51 / $11,748.98	Facility		$4,265.80	$8,912.51	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,265.80 / $5,128.61	Professional		$4,073.80	$4,265.80	$5,128.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $8,128.31 / $14,454.40	Facility		$4,265.80	$8,128.31	$14,454.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $7,079.46	Professional		$4,265.80	$4,265.80	$7,079.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $6,456.54	Professional		$4,265.80	$4,265.80	$6,456.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $4,265.80 / $4,265.80	Facility		$3,981.07	$4,265.80	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Professional		$4,265.80	$4,265.80	$4,265.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,073.80 / $4,265.80	Professional		$3,630.78	$4,073.80	$4,265.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $194.98	Professional		$56.23	$56.23	$194.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $4,265.80 / $6,456.54	Facility		$83.18	$4,265.80	$6,456.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $4,265.80	Professional		$131.83	$131.83	$4,265.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,570.88 / $6,309.57	Facility		$4,073.80	$4,570.88	$6,309.57
Sentara Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,570.88 / $6,309.57	Professional		$4,073.80	$4,570.88	$6,309.57
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $4,265.80 / $6,606.93	Facility		$3,981.07	$4,265.80	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,466.84 / $4,786.30	Professional		$4,265.80	$4,466.84	$4,786.30