Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,711.66 / $3,711.66 / $3,751.18	Facility		$3,711.66	$3,711.66	$3,751.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,711.66 / $3,711.66 / $4,226.82	Professional		$3,711.66	$3,711.66	$4,226.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,037.63 / $7,037.63 / $7,473.96	Facility		$7,037.63	$7,037.63	$7,473.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,279.66 / $4,279.66 / $5,387.10	Professional		$4,279.66	$4,279.66	$5,387.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,774.00 / $3,774.00 / $4,810.88	Professional		$3,774.00	$3,774.00	$4,810.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,697.47 / $4,697.47 / $4,697.47	Facility		$4,697.47	$4,697.47	$4,697.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,429.16 / $3,429.16 / $4,697.47	Professional		$3,429.16	$3,429.16	$4,697.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,926.34 / $6,333.87 / $8,445.16	Professional		$4,926.34	$6,333.87	$8,445.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,266.64 / $4,328.27 / $8,011.12	Facility		$2,266.64	$4,328.27	$8,011.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5,023.00 / $9,243.96 / $11,722.43	Professional		$5,023.00	$9,243.96	$11,722.43
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3,855.71 / $5,288.82 / $8,053.34	Facility		$3,855.71	$5,288.82	$8,053.34
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3,855.71 / $5,288.82 / $8,053.34	Professional		$3,855.71	$5,288.82	$8,053.34
United Facility/Professional Professional Modifier Low / Median / High Price $3,291.65 / $3,511.00 / $5,410.34	Professional		$3,291.65	$3,511.00	$5,410.34