Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,709.92 / $5,048.00 / $9,539.00	Facility		$2,709.92	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,270.13 / $2,709.92 / $3,427.01	Professional		$2,270.13	$2,709.92	$3,427.01
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 $2,131.32 / $2,713.55 / $3,782.15	Professional		$2,131.32	$2,713.55	$3,782.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,832.61 / $3,154.84 / $6,151.94	Professional		$2,832.61	$3,154.84	$6,151.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,910.26 / $2,920.41 / $5,472.30	Professional		$1,910.26	$2,920.41	$5,472.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,192.42 / $2,630.92 / $3,244.80	Professional		$2,192.42	$2,630.92	$3,244.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,412.88 / $3,118.36 / $4,616.12	Facility		$2,412.88	$3,118.36	$4,616.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,827.00 / $3,385.00 / $5,390.76	Professional		$2,827.00	$3,385.00	$5,390.76
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,783.51 / $2,988.94 / $5,748.40	Facility		$1,783.51	$2,988.94	$5,748.40
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,783.51 / $2,988.94 / $5,748.40	Professional		$1,783.51	$2,988.94	$5,748.40
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 $1,958.20 / $2,740.54 / $5,356.43	Professional		$1,958.20	$2,740.54	$5,356.43