Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,309.26 / $5,048.00 / $9,539.00	Facility		$2,309.26	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,985.89 / $2,309.26 / $2,552.67	Professional		$1,985.89	$2,309.26	$2,552.67
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 $1,854.71 / $2,371.76 / $3,252.86	Professional		$1,854.71	$2,371.76	$3,252.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,334.33 / $2,701.55 / $4,703.59	Professional		$2,334.33	$2,701.55	$4,703.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,997.61 / $2,778.28 / $5,162.29	Professional		$1,997.61	$2,778.28	$5,162.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,880.46 / $2,256.55 / $2,783.08	Professional		$1,880.46	$2,256.55	$2,783.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,220.66 / $2,737.99 / $4,059.54	Facility		$2,220.66	$2,737.99	$4,059.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,539.00 / $2,936.00 / $4,631.02	Professional		$2,539.00	$2,936.00	$4,631.02
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,025.71 / $2,657.95 / $4,880.03	Facility		$2,025.71	$2,657.95	$4,880.03
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,025.71 / $2,657.95 / $4,880.03	Professional		$2,025.71	$2,657.95	$4,880.03
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 $1,680.98 / $2,895.86 / $4,458.83	Professional		$1,680.98	$2,895.86	$4,458.83