Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,418.54 / $5,048.00 / $9,539.00	Facility		$2,418.54	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,023.57 / $2,418.54 / $4,471.66	Professional		$2,023.57	$2,418.54	$4,471.66
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 $1,919.92 / $2,444.40 / $3,407.01	Professional		$1,919.92	$2,444.40	$3,407.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,555.71 / $2,795.56 / $5,451.34	Professional		$2,555.71	$2,795.56	$5,451.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,101.64 / $2,827.48 / $4,887.13	Professional		$2,101.64	$2,827.48	$4,887.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,967.95 / $2,361.54 / $2,912.57	Professional		$1,967.95	$2,361.54	$2,912.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,372.85 / $2,960.97 / $4,309.62	Facility		$2,372.85	$2,960.97	$4,309.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,536.00 / $3,015.00 / $4,847.10	Professional		$2,536.00	$3,015.00	$4,847.10
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,928.00 / $2,721.24 / $5,133.43	Facility		$1,928.00	$2,721.24	$5,133.43
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,928.00 / $2,721.24 / $5,133.43	Professional		$1,928.00	$2,721.24	$5,133.43
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 $1,887.29 / $2,645.11 / $4,436.01	Professional		$1,887.29	$2,645.11	$4,436.01