Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,129.27 / $5,048.00 / $9,539.00	Facility		$2,129.27	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,745.70 / $2,129.27 / $2,748.76	Professional		$1,745.70	$2,129.27	$2,748.76
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 $1,663.57 / $2,118.02 / $2,952.09	Professional		$1,663.57	$2,118.02	$2,952.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,216.01 / $2,451.04 / $4,779.53	Professional		$2,216.01	$2,451.04	$4,779.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,838.49 / $2,387.55 / $4,252.07	Professional		$1,838.49	$2,387.55	$4,252.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,714.13 / $2,056.96 / $2,536.91	Professional		$1,714.13	$2,056.96	$2,536.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,062.82 / $2,600.34 / $3,746.91	Facility		$2,062.82	$2,600.34	$3,746.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,349.00 / $2,617.00 / $4,210.89	Professional		$2,349.00	$2,617.00	$4,210.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,725.98 / $2,368.08 / $4,466.85	Facility		$1,725.98	$2,368.08	$4,466.85
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,725.98 / $2,368.08 / $4,466.85	Professional		$1,725.98	$2,368.08	$4,466.85
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 $1,642.99 / $2,480.75 / $4,075.07	Professional		$1,642.99	$2,480.75	$4,075.07