Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,474.98 / $5,048.00 / $9,539.00	Facility		$2,474.98	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,102.50 / $2,474.98 / $2,694.51	Professional		$2,102.50	$2,474.98	$2,694.51
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 $2,002.84 / $2,561.17 / $3,512.65	Professional		$2,002.84	$2,561.17	$3,512.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,567.17 / $2,998.82 / $5,221.16	Professional		$2,567.17	$2,998.82	$5,221.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,966.27 / $2,852.77 / $5,389.65	Professional		$1,966.27	$2,852.77	$5,389.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,060.14 / $2,472.17 / $3,049.01	Professional		$2,060.14	$2,472.17	$3,049.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,376.62 / $2,886.20 / $4,406.75	Facility		$2,376.62	$2,886.20	$4,406.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,633.46 / $3,119.00 / $5,085.67	Professional		$2,633.46	$3,119.00	$5,085.67
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,911.29 / $2,773.11 / $5,106.35	Facility		$1,911.29	$2,773.11	$5,106.35
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,911.29 / $2,773.11 / $5,106.35	Professional		$1,911.29	$2,773.11	$5,106.35
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 $1,764.98 / $2,647.48 / $4,764.68	Professional		$1,764.98	$2,647.48	$4,764.68