Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,552.96 / $5,412.00 / $10,767.00	Facility		$3,552.96	$5,412.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,968.70 / $3,552.96 / $4,491.72	Professional		$2,968.70	$3,552.96	$4,491.72
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 $2,792.56 / $3,550.36 / $4,955.55	Professional		$2,792.56	$3,550.36	$4,955.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,709.20 / $4,145.56 / $8,083.84	Professional		$3,709.20	$4,145.56	$8,083.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,974.59 / $3,683.71 / $7,181.89	Professional		$2,974.59	$3,683.71	$7,181.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,872.17 / $3,446.60 / $4,250.81	Professional		$2,872.17	$3,446.60	$4,250.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,305.89 / $4,060.79 / $6,004.50	Facility		$3,305.89	$4,060.79	$6,004.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,557.00 / $4,112.00 / $7,062.31	Professional		$3,557.00	$4,112.00	$7,062.31
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,458.06 / $3,722.78 / $7,544.19	Facility		$2,458.06	$3,722.78	$7,544.19
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,458.06 / $3,722.78 / $7,544.19	Professional		$2,458.06	$3,722.78	$7,544.19
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 $2,503.39 / $3,508.35 / $6,518.96	Professional		$2,503.39	$3,508.35	$6,518.96