Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,635.95 / $5,048.00 / $9,539.00	Facility		$2,635.95	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,243.44 / $2,635.95 / $5,140.70	Professional		$2,243.44	$2,635.95	$5,140.70
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 $2,071.79 / $2,637.75 / $3,676.51	Professional		$2,071.79	$2,637.75	$3,676.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,758.89 / $3,042.22 / $5,932.33	Professional		$2,758.89	$3,042.22	$5,932.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,283.57 / $2,963.30 / $5,306.35	Professional		$2,283.57	$2,963.30	$5,306.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,128.19 / $2,553.84 / $3,149.74	Professional		$2,128.19	$2,553.84	$3,149.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,587.90 / $3,193.83 / $4,599.64	Facility		$2,587.90	$3,193.83	$4,599.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,755.00 / $3,252.00 / $5,242.87	Professional		$2,755.00	$3,252.00	$5,242.87
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,070.00 / $2,904.13 / $5,573.99	Facility		$2,070.00	$2,904.13	$5,573.99
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,070.00 / $2,904.13 / $5,573.99	Professional		$2,070.00	$2,904.13	$5,573.99
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 $2,049.80 / $2,874.72 / $5,063.72	Professional		$2,049.80	$2,874.72	$5,063.72