Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,727.93 / $5,048.00 / $9,539.00	Facility		$2,727.93	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,307.94 / $2,727.93 / $3,477.10	Professional		$2,307.94	$2,727.93	$3,477.10
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 $2,189.03 / $2,783.06 / $3,884.56	Professional		$2,189.03	$2,783.06	$3,884.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,912.69 / $3,196.06 / $6,232.32	Professional		$2,912.69	$3,196.06	$6,232.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,317.08 / $2,837.48 / $5,577.75	Professional		$2,317.08	$2,837.48	$5,577.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,242.94 / $2,691.53 / $3,319.55	Professional		$2,242.94	$2,691.53	$3,319.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,578.57 / $3,142.67 / $4,610.20	Facility		$2,578.57	$3,142.67	$4,610.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,534.69 / $3,132.00 / $5,525.74	Professional		$2,534.69	$3,132.00	$5,525.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,018.66 / $2,993.52 / $5,859.20	Facility		$2,018.66	$2,993.52	$5,859.20
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,018.66 / $2,993.52 / $5,859.20	Professional		$2,018.66	$2,993.52	$5,859.20
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 $1,910.86 / $2,803.68 / $5,340.89	Professional		$1,910.86	$2,803.68	$5,340.89