Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,879.39 / $4,879.39 / $4,931.34	Facility		$4,879.39	$4,879.39	$4,931.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,158.89 / $4,879.39 / $4,937.87	Professional		$4,158.89	$4,879.39	$4,937.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,251.75 / $9,251.75 / $9,825.36	Facility		$9,251.75	$9,251.75	$9,825.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,893.57 / $4,893.57 / $6,347.71	Professional		$4,893.57	$4,893.57	$6,347.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,961.00 / $5,184.74 / $6,324.44	Professional		$4,961.00	$5,184.74	$6,324.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,541.83 / $6,541.83 / $6,541.83	Facility		$6,541.83	$6,541.83	$6,541.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,775.54 / $4,775.54 / $6,541.83	Professional		$4,775.54	$4,775.54	$6,541.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,476.23 / $8,326.58 / $11,102.10	Professional		$6,476.23	$8,326.58	$11,102.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,579.84 / $5,689.99 / $10,337.29	Facility		$2,579.84	$5,689.99	$10,337.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,504.00 / $12,152.22 / $15,410.43	Professional		$4,504.00	$12,152.22	$15,410.43
Sentara Facility/Professional Facility Modifier Low / Median / High Price $5,068.76 / $6,952.74 / $10,500.48	Facility		$5,068.76	$6,952.74	$10,500.48
Sentara Facility/Professional Professional Modifier Low / Median / High Price $5,068.76 / $6,952.74 / $10,500.48	Professional		$5,068.76	$6,952.74	$10,500.48
United Facility/Professional Facility Modifier Low / Median / High Price $10,680.11 / $10,680.11 / $12,816.13	Facility		$10,680.11	$10,680.11	$12,816.13
United Facility/Professional Professional Modifier Low / Median / High Price $4,171.64 / $4,615.60 / $6,952.74	Professional		$4,171.64	$4,615.60	$6,952.74