Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,388.33 / $5,048.00 / $9,539.00	Facility		$2,388.33	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,022.31 / $2,388.33 / $2,597.04	Professional		$2,022.31	$2,388.33	$2,597.04
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 $1,929.70 / $2,467.65 / $3,384.38	Professional		$1,929.70	$2,467.65	$3,384.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,477.69 / $2,901.73 / $5,052.12	Professional		$2,477.69	$2,901.73	$5,052.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,890.64 / $2,754.52 / $5,197.93	Professional		$1,890.64	$2,754.52	$5,197.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,983.95 / $2,380.73 / $2,936.25	Professional		$1,983.95	$2,380.73	$2,936.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,292.26 / $2,784.43 / $4,249.75	Facility		$2,292.26	$2,784.43	$4,249.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,542.05 / $3,030.00 / $4,900.82	Professional		$2,542.05	$3,030.00	$4,900.82
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,820.20 / $2,668.77 / $5,009.64	Facility		$1,820.20	$2,668.77	$5,009.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,820.20 / $2,668.77 / $5,009.64	Professional		$1,820.20	$2,668.77	$5,009.64
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 $1,719.20 / $2,393.96 / $4,328.56	Professional		$1,719.20	$2,393.96	$4,328.56