Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,694.40 / $5,048.00 / $9,539.00	Facility		$2,694.40	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,322.12 / $2,694.40 / $2,985.61	Professional		$2,322.12	$2,694.40	$2,985.61
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 $2,167.26 / $2,771.44 / $3,801.02	Professional		$2,167.26	$2,771.44	$3,801.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,833.85 / $3,173.91 / $5,526.01	Professional		$2,833.85	$3,173.91	$5,526.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,916.14 / $3,109.12 / $6,037.12	Professional		$1,916.14	$3,109.12	$6,037.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,197.73 / $2,637.28 / $3,252.64	Professional		$2,197.73	$2,637.28	$3,252.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,573.00 / $3,107.03 / $4,682.53	Facility		$2,573.00	$3,107.03	$4,682.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,880.98 / $3,363.00 / $5,410.68	Professional		$2,880.98	$3,363.00	$5,410.68
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,013.04 / $3,033.42 / $5,494.75	Facility		$2,013.04	$3,033.42	$5,494.75
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,013.04 / $3,033.42 / $5,494.75	Professional		$2,013.04	$3,033.42	$5,494.75
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 $1,865.72 / $2,620.96 / $4,931.82	Professional		$1,865.72	$2,620.96	$4,931.82