Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,616.02 / $4,616.02 / $4,665.16	Facility		$4,616.02	$4,616.02	$4,665.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,291.77 / $4,616.02 / $4,840.72	Professional		$4,291.77	$4,616.02	$4,840.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,752.37 / $8,752.37 / $9,295.02	Facility		$8,752.37	$8,752.37	$9,295.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,923.92 / $4,923.92 / $6,359.73	Professional		$4,923.92	$4,923.92	$6,359.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,693.00 / $4,904.88 / $5,983.07	Professional		$4,693.00	$4,904.88	$5,983.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,300.68 / $6,300.68 / $6,300.68	Facility		$6,300.68	$6,300.68	$6,300.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,599.50 / $4,599.50 / $6,300.68	Professional		$4,599.50	$4,599.50	$6,300.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,126.66 / $7,877.13 / $10,502.84	Professional		$6,126.66	$7,877.13	$10,502.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,595.84 / $5,382.87 / $9,779.34	Facility		$2,595.84	$5,382.87	$9,779.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,532.00 / $11,496.28 / $14,578.62	Professional		$4,532.00	$11,496.28	$14,578.62
Sentara Facility/Professional Facility Modifier Low / Median / High Price $4,795.17 / $6,577.47 / $9,933.70	Facility		$4,795.17	$6,577.47	$9,933.70
Sentara Facility/Professional Professional Modifier Low / Median / High Price $4,795.17 / $6,577.47 / $9,933.70	Professional		$4,795.17	$6,577.47	$9,933.70
United Facility/Professional Professional Modifier Low / Median / High Price $4,020.92 / $4,366.46 / $6,264.26	Professional		$4,020.92	$4,366.46	$6,264.26