Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,205.28 / $5,048.00 / $9,539.00	Facility		$2,205.28	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,870.26 / $2,205.28 / $2,401.05	Professional		$1,870.26	$2,205.28	$2,401.05
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 $1,787.40 / $2,285.69 / $3,134.82	Professional		$1,787.40	$2,285.69	$3,134.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,296.90 / $2,685.02 / $4,674.81	Professional		$2,296.90	$2,685.02	$4,674.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,821.90 / $2,576.81 / $4,806.38	Professional		$1,821.90	$2,576.81	$4,806.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,838.50 / $2,206.19 / $2,720.98	Professional		$1,838.50	$2,206.19	$2,720.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,125.71 / $2,578.60 / $3,924.34	Facility		$2,125.71	$2,578.60	$3,924.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,348.12 / $2,793.00 / $4,540.03	Professional		$2,348.12	$2,793.00	$4,540.03
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,720.24 / $2,471.00 / $4,632.16	Facility		$1,720.24	$2,471.00	$4,632.16
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,720.24 / $2,471.00 / $4,632.16	Professional		$1,720.24	$2,471.00	$4,632.16
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 $1,594.29 / $2,533.87 / $4,002.50	Professional		$1,594.29	$2,533.87	$4,002.50