Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,466.73 / $5,048.00 / $9,539.00	Facility		$2,466.73	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,046.77 / $2,466.73 / $4,531.45	Professional		$2,046.77	$2,466.73	$4,531.45
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 $1,950.60 / $2,479.92 / $3,461.46	Professional		$1,950.60	$2,479.92	$3,461.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,599.64 / $2,809.67 / $5,478.86	Professional		$2,599.64	$2,809.67	$5,478.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,797.00 / $2,631.47 / $4,952.71	Professional		$1,797.00	$2,631.47	$4,952.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,001.64 / $2,401.96 / $2,962.43	Professional		$2,001.64	$2,401.96	$2,962.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,303.92 / $2,854.64 / $4,168.79	Facility		$2,303.92	$2,854.64	$4,168.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,505.00 / $3,055.00 / $4,926.55	Professional		$2,505.00	$3,055.00	$4,926.55
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,736.00 / $2,686.34 / $5,202.33	Facility		$1,736.00	$2,686.34	$5,202.33
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,736.00 / $2,686.34 / $5,202.33	Professional		$1,736.00	$2,686.34	$5,202.33
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 $1,774.85 / $2,329.53 / $4,726.25	Professional		$1,774.85	$2,329.53	$4,726.25