Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,191.08 / $5,048.00 / $9,539.00	Facility		$2,191.08	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,810.56 / $2,191.08 / $3,089.75	Professional		$1,810.56	$2,191.08	$3,089.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,955.00 / $11,210.00 / $17,424.00	Facility		$8,955.00	$11,210.00	$17,424.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,716.42 / $2,182.19 / $3,045.88	Professional		$1,716.42	$2,182.19	$3,045.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,286.86 / $2,545.04 / $4,962.83	Professional		$2,286.86	$2,545.04	$4,962.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,879.15 / $2,512.12 / $4,405.07	Professional		$1,879.15	$2,512.12	$4,405.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,768.95 / $2,122.73 / $2,618.05	Professional		$1,768.95	$2,122.73	$2,618.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,148.03 / $2,629.24 / $3,702.93	Facility		$2,148.03	$2,629.24	$3,702.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,421.00 / $2,713.00 / $4,344.89	Professional		$2,421.00	$2,713.00	$4,344.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,784.73 / $2,447.66 / $4,626.82	Facility		$1,784.73	$2,447.66	$4,626.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,784.73 / $2,447.66 / $4,626.82	Professional		$1,784.73	$2,447.66	$4,626.82
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 $1,702.73 / $2,530.42 / $3,998.45	Professional		$1,702.73	$2,530.42	$3,998.45