Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Facility		$4,570.88	$4,570.88	$4,570.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,570.88 / $7,079.46	Professional		$3,630.78	$4,570.88	$7,079.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $8,709.64 / $9,332.54	Facility		$8,709.64	$8,709.64	$9,332.54
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 $4,786.30 / $4,786.30 / $6,025.60	Professional		$4,786.30	$4,786.30	$6,025.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $4,786.30 / $4,786.30	Facility		$3,162.28	$4,786.30	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,786.30	Professional		$4,073.80	$4,073.80	$4,786.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $8,709.64 / $12,302.69	Professional		$6,165.95	$8,709.64	$12,302.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $6,456.54 / $7,585.78	Professional		$6,309.57	$6,456.54	$7,585.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $6,025.60 / $10,232.93	Facility		$3,548.13	$6,025.60	$10,232.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,248.07 / $5,754.40	Professional		$4,677.35	$5,248.07	$5,754.40
Sentara Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $6,918.31 / $12,022.64	Facility		$4,786.30	$6,918.31	$12,022.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $6,918.31 / $12,022.64	Professional		$4,786.30	$6,918.31	$12,022.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $5,754.40 / $12,302.69	Facility		$2,884.03	$5,754.40	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,265.80 / $6,760.83	Professional		$3,890.45	$4,265.80	$6,760.83