Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,464.49 / $5,231.17 / $10,236.60	Facility		$3,464.49	$5,231.17	$10,236.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,966.62 / $3,464.49 / $3,823.03	Professional		$2,966.62	$3,464.49	$3,823.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,760.71 / $3,530.32 / $4,841.83	Professional		$2,760.71	$3,530.32	$4,841.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,621.62 / $4,056.21 / $7,062.16	Professional		$3,621.62	$4,056.21	$7,062.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,165.94 / $3,984.45 / $7,730.63	Professional		$2,165.94	$3,984.45	$7,730.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,795.83 / $3,355.00 / $4,137.83	Professional		$2,795.83	$3,355.00	$4,137.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,063.86 / $3,963.01 / $5,659.72	Facility		$3,063.86	$3,963.01	$5,659.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,527.00 / $4,331.10 / $6,886.94	Professional		$3,527.00	$4,331.10	$6,886.94
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,067.98 / $3,871.57 / $7,011.48	Facility		$2,067.98	$3,871.57	$7,011.48
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,067.98 / $3,871.57 / $7,011.48	Professional		$2,067.98	$3,871.57	$7,011.48
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 $2,272.96 / $3,492.76 / $6,639.39	Professional		$2,272.96	$3,492.76	$6,639.39