Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,244.50 / $5,048.00 / $9,571.12	Facility		$3,244.50	$5,048.00	$9,571.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,685.77 / $3,244.50 / $4,059.08	Professional		$2,685.77	$3,244.50	$4,059.08
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 $2,576.00 / $3,279.70 / $4,571.25	Professional		$2,576.00	$3,279.70	$4,571.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,429.79 / $3,729.13 / $7,271.80	Professional		$3,429.79	$3,729.13	$7,271.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,707.57 / $3,674.84 / $6,553.05	Professional		$2,707.57	$3,674.84	$6,553.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,641.53 / $3,169.84 / $3,909.46	Professional		$2,641.53	$3,169.84	$3,909.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,163.96 / $3,906.63 / $5,659.99	Facility		$3,163.96	$3,906.63	$5,659.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,357.00 / $4,013.00 / $6,504.07	Professional		$3,357.00	$4,013.00	$6,504.07
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,221.29 / $3,565.90 / $6,883.32	Facility		$2,221.29	$3,565.90	$6,883.32
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,221.29 / $3,565.90 / $6,883.32	Professional		$2,221.29	$3,565.90	$6,883.32
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 $2,531.32 / $3,361.98 / $6,278.38	Professional		$2,531.32	$3,361.98	$6,278.38