Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,258.37 / $5,048.00 / $9,539.00	Facility		$2,258.37	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,934.55 / $2,258.37 / $2,915.69	Professional		$1,934.55	$2,258.37	$2,915.69
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 $1,833.06 / $2,333.81 / $3,252.86	Professional		$1,833.06	$2,333.81	$3,252.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,438.73 / $2,651.79 / $5,170.99	Professional		$2,438.73	$2,651.79	$5,170.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.49 / $2,668.98 / $4,672.46	Professional		$1,995.49	$2,668.98	$4,672.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,878.46 / $2,254.15 / $2,780.12	Professional		$1,878.46	$2,254.15	$2,780.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,238.60 / $2,855.14 / $4,103.21	Facility		$2,238.60	$2,855.14	$4,103.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,583.00 / $2,879.00 / $4,627.03	Professional		$2,583.00	$2,879.00	$4,627.03
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,896.61 / $2,628.92 / $4,907.82	Facility		$1,896.61	$2,628.92	$4,907.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,896.61 / $2,628.92 / $4,907.82	Professional		$1,896.61	$2,628.92	$4,907.82
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 $1,803.65 / $2,655.85 / $4,458.83	Professional		$1,803.65	$2,655.85	$4,458.83