Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,284.28 / $5,048.00 / $9,539.00	Facility		$2,284.28	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,957.03 / $2,284.28 / $2,496.71	Professional		$1,957.03	$2,284.28	$2,496.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,685.00 / $17,371.00 / $24,194.30	Facility		$8,685.00	$17,371.00	$24,194.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,853.79 / $2,370.58 / $3,251.25	Professional		$1,853.79	$2,370.58	$3,251.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,363.90 / $2,937.48 / $5,114.35	Professional		$2,363.90	$2,937.48	$5,114.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,863.48 / $2,645.40 / $4,981.91	Professional		$1,863.48	$2,645.40	$4,981.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,904.19 / $2,285.03 / $2,818.20	Professional		$1,904.19	$2,285.03	$2,818.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,189.28 / $2,689.48 / $4,073.97	Facility		$2,189.28	$2,689.48	$4,073.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,429.05 / $2,857.70 / $4,704.05	Professional		$2,429.05	$2,857.70	$4,704.05
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,904.80 / $2,600.35 / $4,801.46	Facility		$1,904.80	$2,600.35	$4,801.46
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,904.80 / $2,600.35 / $4,801.46	Professional		$1,904.80	$2,600.35	$4,801.46
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 $1,640.21 / $2,411.94 / $4,404.22	Professional		$1,640.21	$2,411.94	$4,404.22