Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,748.91 / $5,048.00 / $9,539.00	Facility		$2,748.91	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,328.92 / $2,748.91 / $2,986.15	Professional		$2,328.92	$2,748.91	$2,986.15
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 $2,213.66 / $2,830.78 / $3,882.41	Professional		$2,213.66	$2,830.78	$3,882.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,835.45 / $3,320.82 / $5,781.79	Professional		$2,835.45	$3,320.82	$5,781.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,352.31 / $3,207.54 / $5,978.32	Professional		$2,352.31	$3,207.54	$5,978.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,275.39 / $2,730.47 / $3,367.58	Professional		$2,275.39	$2,730.47	$3,367.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,627.69 / $3,248.71 / $4,894.39	Facility		$2,627.69	$3,248.71	$4,894.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,927.39 / $3,471.00 / $5,620.46	Professional		$2,927.39	$3,471.00	$5,620.46
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,275.40 / $3,088.38 / $5,649.24	Facility		$2,275.40	$3,088.38	$5,649.24
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,275.40 / $3,088.38 / $5,649.24	Professional		$2,275.40	$3,088.38	$5,649.24
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 $1,984.42 / $3,206.05 / $5,316.42	Professional		$1,984.42	$3,206.05	$5,316.42