Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,233.76 / $5,048.00 / $10,767.00	Facility		$2,233.76	$5,048.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,756.50 / $2,233.76 / $2,295.03	Professional		$1,756.50	$2,233.76	$2,295.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,525.00 / $11,065.00 / $12,418.00	Facility		$8,525.00	$11,065.00	$12,418.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,442.06 / $1,828.68 / $2,524.64	Professional		$1,442.06	$1,828.68	$2,524.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,674.73 / $2,674.73 / $5,215.72	Professional		$2,674.73	$2,674.73	$5,215.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,122.00 / $8,122.00 / $10,523.00	Facility		$8,122.00	$8,122.00	$10,523.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,683.73 / $2,020.48 / $2,491.92	Professional		$1,683.73	$2,020.48	$2,491.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,444.89 / $2,233.76 / $3,402.02	Facility		$1,444.89	$2,233.76	$3,402.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,273.00 / $3,229.00 / $4,157.81	Professional		$2,273.00	$3,229.00	$4,157.81
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,704.17 / $2,512.88 / $8,288.89	Facility		$1,704.17	$2,512.88	$8,288.89
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,704.17 / $2,512.88 / $8,288.89	Professional		$1,704.17	$2,512.88	$8,288.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,130.00 / $5,226.00	Facility		$1,547.00	$3,130.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,575.74 / $2,833.36 / $3,868.40	Professional		$1,575.74	$2,833.36	$3,868.40