Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,954.93 / $5,048.00 / $9,539.00	Facility		$2,954.93	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,447.21 / $2,954.93 / $3,721.75	Professional		$2,447.21	$2,954.93	$3,721.75
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 $2,319.94 / $2,953.70 / $4,116.87	Professional		$2,319.94	$2,953.70	$4,116.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,086.26 / $3,408.00 / $6,645.60	Professional		$3,086.26	$3,408.00	$6,645.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,447.48 / $3,320.41 / $5,941.44	Professional		$2,447.48	$3,320.41	$5,941.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,387.79 / $2,865.35 / $3,533.93	Professional		$2,387.79	$2,865.35	$3,533.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,879.56 / $3,497.18 / $5,205.99	Facility		$2,879.56	$3,497.18	$5,205.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,072.00 / $3,658.00 / $5,869.51	Professional		$3,072.00	$3,658.00	$5,869.51
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,070.00 / $3,250.83 / $6,241.41	Facility		$2,070.00	$3,250.83	$6,241.41
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,070.00 / $3,250.83 / $6,241.41	Professional		$2,070.00	$3,250.83	$6,241.41
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 $2,293.61 / $3,241.64 / $5,146.55	Professional		$2,293.61	$3,241.64	$5,146.55