Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,655.91 / $5,048.00 / $9,539.00	Facility		$2,655.91	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,273.79 / $2,655.91 / $3,226.00	Professional		$2,273.79	$2,655.91	$3,226.00
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 $2,118.69 / $2,709.34 / $3,715.85	Professional		$2,118.69	$2,709.34	$3,715.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,796.44 / $3,132.01 / $5,453.06	Professional		$2,796.44	$3,132.01	$5,453.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,846.44 / $3,056.25 / $5,941.00	Professional		$1,846.44	$3,056.25	$5,941.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,146.25 / $2,575.50 / $3,176.45	Professional		$2,146.25	$2,575.50	$3,176.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,517.09 / $3,038.69 / $4,573.63	Facility		$2,517.09	$3,038.69	$4,573.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,824.56 / $3,319.00 / $5,286.50	Professional		$2,824.56	$3,319.00	$5,286.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,906.10 / $2,968.57 / $5,376.14	Facility		$1,906.10	$2,968.57	$5,376.14
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,906.10 / $2,968.57 / $5,376.14	Professional		$1,906.10	$2,968.57	$5,376.14
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 $1,841.93 / $2,895.23 / $5,122.91	Professional		$1,841.93	$2,895.23	$5,122.91