Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $5,011.87 / $5,011.87	Facility		$4,897.79	$5,011.87	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,011.87 / $7,762.47	Professional		$4,265.80	$5,011.87	$7,762.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $9,549.93 / $10,232.93	Facility		$9,549.93	$9,549.93	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $11,481.54	Professional		$5,495.41	$5,495.41	$11,481.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $6,606.93	Professional		$5,011.87	$5,011.87	$6,606.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $6,606.93 / $6,606.93	Facility		$4,265.80	$6,606.93	$6,606.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $6,606.93	Professional		$4,786.30	$4,786.30	$6,606.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $9,549.93 / $13,489.63	Professional		$6,760.83	$9,549.93	$13,489.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,309.57 / $9,332.54	Professional		$6,025.60	$6,309.57	$9,332.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $6,918.31 / $12,302.69	Facility		$4,073.80	$6,918.31	$12,302.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $6,309.57 / $7,244.36	Professional		$5,128.61	$6,309.57	$7,244.36
Sentara Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $7,762.47 / $12,882.50	Facility		$5,128.61	$7,762.47	$12,882.50
Sentara Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $7,762.47 / $12,882.50	Professional		$5,128.61	$7,762.47	$12,882.50
United Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $6,760.83 / $12,302.69	Facility		$3,388.44	$6,760.83	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,677.35 / $7,079.46	Professional		$4,365.16	$4,677.35	$7,079.46