Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,947.60 / $4,947.60 / $5,000.29	Facility		$4,947.60	$4,947.60	$5,000.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,947.60 / $4,947.60 / $5,716.47	Professional		$4,947.60	$4,947.60	$5,716.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,381.12 / $9,381.12 / $9,962.75	Facility		$9,381.12	$9,381.12	$9,962.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,539.38 / $5,539.38 / $6,965.32	Professional		$5,539.38	$5,539.38	$6,965.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $5,030.00 / $5,030.00 / $6,412.88	Professional		$5,030.00	$5,030.00	$6,412.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,553.03 / $6,553.03 / $6,553.03	Facility		$6,553.03	$6,553.03	$6,553.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,783.71 / $4,783.71 / $6,553.03	Professional		$4,783.71	$4,783.71	$6,553.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,566.78 / $8,443.01 / $11,257.34	Professional		$6,566.78	$8,443.01	$11,257.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,920.30 / $5,769.54 / $10,525.73	Facility		$2,920.30	$5,769.54	$10,525.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5,210.00 / $12,322.14 / $15,625.91	Professional		$5,210.00	$12,322.14	$15,625.91
Sentara Facility/Professional Facility Modifier Low / Median / High Price $5,139.63 / $7,049.95 / $10,647.30	Facility		$5,139.63	$7,049.95	$10,647.30
Sentara Facility/Professional Professional Modifier Low / Median / High Price $5,139.63 / $7,049.95 / $10,647.30	Professional		$5,139.63	$7,049.95	$10,647.30
United Facility/Professional Professional Modifier Low / Median / High Price $4,387.72 / $4,680.13 / $7,049.95	Professional		$4,387.72	$4,680.13	$7,049.95