Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,970.82 / $5,048.00 / $9,539.00	Facility		$2,970.82	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,447.38 / $2,970.82 / $3,707.62	Professional		$2,447.38	$2,970.82	$3,707.62
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 $2,339.98 / $2,979.22 / $4,152.43	Professional		$2,339.98	$2,979.22	$4,152.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,114.06 / $3,419.16 / $6,667.36	Professional		$3,114.06	$3,419.16	$6,667.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,230.05 / $3,176.84 / $5,979.43	Professional		$2,230.05	$3,176.84	$5,979.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,411.76 / $2,894.11 / $3,569.40	Professional		$2,411.76	$2,894.11	$3,569.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,771.06 / $3,422.80 / $5,042.52	Facility		$2,771.06	$3,422.80	$5,042.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,062.00 / $3,658.00 / $5,913.91	Professional		$3,062.00	$3,658.00	$5,913.91
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,070.00 / $3,252.58 / $6,281.34	Facility		$2,070.00	$3,252.58	$6,281.34
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,070.00 / $3,252.58 / $6,281.34	Professional		$2,070.00	$3,252.58	$6,281.34
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 $2,198.58 / $2,776.53 / $5,427.49	Professional		$2,198.58	$2,776.53	$5,427.49