Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,255.63 / $3,255.63 / $3,290.29	Facility		$3,255.63	$3,255.63	$3,290.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,042.48 / $3,255.63 / $3,707.50	Professional		$3,042.48	$3,255.63	$3,707.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,172.96 / $6,172.96 / $6,555.68	Facility		$6,172.96	$6,172.96	$6,555.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,772.23 / $3,772.23 / $4,881.13	Professional		$3,772.23	$3,772.23	$4,881.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,310.00 / $3,459.37 / $4,219.80	Professional		$3,310.00	$3,459.37	$4,219.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,865.01 / $4,865.01 / $4,865.01	Facility		$4,865.01	$4,865.01	$4,865.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,551.46 / $3,551.46 / $4,865.01	Professional		$3,551.46	$3,551.46	$4,865.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,321.07 / $5,555.66 / $7,407.55	Professional		$4,321.07	$5,555.66	$7,407.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,988.15 / $3,868.34 / $7,026.84	Facility		$1,988.15	$3,868.34	$7,026.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,486.00 / $8,108.22 / $10,282.16	Professional		$3,486.00	$8,108.22	$10,282.16
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3,381.98 / $4,639.02 / $7,367.30	Facility		$3,381.98	$4,639.02	$7,367.30
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3,381.98 / $4,639.02 / $7,367.30	Professional		$3,381.98	$4,639.02	$7,367.30
United Facility/Professional Facility Modifier Low / Median / High Price $5,320.94 / $5,320.94 / $5,320.94	Facility		$5,320.94	$5,320.94	$5,320.94
United Facility/Professional Professional Modifier Low / Median / High Price $2,882.66 / $3,079.62 / $4,745.60	Professional		$2,882.66	$3,079.62	$4,745.60