Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Facility		$6,025.60	$6,025.60	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $6,025.60 / $8,912.51	Professional		$4,677.35	$6,025.60	$8,912.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $11,748.98 / $12,302.69	Facility		$11,748.98	$11,748.98	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $13,489.63	Professional		$6,456.54	$6,456.54	$13,489.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $7,943.28	Professional		$6,165.95	$6,165.95	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $8,128.31 / $8,128.31	Facility		$5,370.32	$8,128.31	$8,128.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $8,128.31	Professional		$5,888.44	$5,888.44	$8,128.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8,128.31 / $11,748.98 / $16,218.10	Professional		$8,128.31	$11,748.98	$16,218.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $7,585.78 / $11,481.54	Professional		$5,888.44	$7,585.78	$11,481.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $7,943.28 / $14,454.40	Facility		$4,570.88	$7,943.28	$14,454.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $6,606.93 / $7,585.78	Professional		$6,309.57	$6,606.93	$7,585.78
Sentara Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $9,332.54 / $15,488.17	Facility		$6,309.57	$9,332.54	$15,488.17
Sentara Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $9,332.54 / $15,488.17	Professional		$6,309.57	$9,332.54	$15,488.17
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,943.28 / $14,454.40	Facility		$3,981.07	$7,943.28	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,754.40 / $8,511.38	Professional		$5,128.61	$5,754.40	$8,511.38