Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,047.83 / $5,048.00 / $9,539.00	Facility		$3,047.83	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,571.54 / $3,047.83 / $3,853.66	Professional		$2,571.54	$3,047.83	$3,853.66
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 $2,401.04 / $3,056.96 / $4,260.79	Professional		$2,401.04	$3,056.96	$4,260.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,194.15 / $3,552.45 / $6,927.28	Professional		$3,194.15	$3,552.45	$6,927.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,560.81 / $3,515.16 / $6,157.36	Professional		$2,560.81	$3,515.16	$6,157.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,471.42 / $2,965.72 / $3,657.72	Professional		$2,471.42	$2,965.72	$3,657.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,010.75 / $3,707.65 / $5,400.85	Facility		$3,010.75	$3,707.65	$5,400.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,198.00 / $3,835.00 / $6,074.69	Professional		$3,198.00	$3,835.00	$6,074.69
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,108.15 / $3,381.38 / $6,467.48	Facility		$2,108.15	$3,381.38	$6,467.48
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,108.15 / $3,381.38 / $6,467.48	Professional		$2,108.15	$3,381.38	$6,467.48
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 $2,376.77 / $3,359.16 / $5,895.04	Professional		$2,376.77	$3,359.16	$5,895.04