Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,470.35 / $4,470.35 / $4,517.95	Facility		$4,470.35	$4,470.35	$4,517.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,128.22 / $4,470.35 / $4,659.47	Professional		$4,128.22	$4,470.35	$4,659.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,476.19 / $8,476.19 / $9,001.70	Facility		$8,476.19	$8,476.19	$9,001.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,217.74 / $5,217.74 / $6,522.69	Professional		$5,217.74	$5,217.74	$6,522.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,731.93 / $4,731.93 / $5,794.27	Professional		$4,731.93	$4,731.93	$5,794.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,042.00 / $6,042.00 / $6,042.00	Facility		$6,042.00	$6,042.00	$6,042.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,410.66 / $4,410.66 / $6,042.00	Professional		$4,410.66	$4,410.66	$6,042.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,933.33 / $7,628.57 / $10,171.43	Professional		$5,933.33	$7,628.57	$10,171.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,498.65 / $5,213.01 / $9,510.41	Facility		$2,498.65	$5,213.01	$9,510.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,910.00 / $11,133.52 / $14,118.60	Professional		$4,910.00	$11,133.52	$14,118.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $4,643.85 / $6,415.92 / $9,699.51	Facility		$4,643.85	$6,415.92	$9,699.51
Sentara Facility/Professional Professional Modifier Low / Median / High Price $4,643.85 / $6,415.92 / $9,699.51	Professional		$4,643.85	$6,415.92	$9,699.51
United Facility/Professional Professional Modifier Low / Median / High Price $3,870.38 / $4,228.67 / $6,066.58	Professional		$3,870.38	$4,228.67	$6,066.58