Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,011.28 / $4,850.08 / $9,539.00	Facility		$2,011.28	$4,850.08	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,667.23 / $2,011.28 / $2,830.17	Professional		$1,667.23	$2,011.28	$2,830.17
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 $1,595.23 / $2,031.01 / $2,830.83	Professional		$1,595.23	$2,031.01	$2,830.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,129.61 / $2,356.55 / $4,595.27	Professional		$2,129.61	$2,356.55	$4,595.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,725.61 / $2,361.31 / $4,040.73	Professional		$1,725.61	$2,361.31	$4,040.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,638.39 / $1,966.07 / $2,424.82	Professional		$1,638.39	$1,966.07	$2,424.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,897.79 / $2,468.39 / $3,557.58	Facility		$1,897.79	$2,468.39	$3,557.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,234.00 / $2,520.79 / $4,031.52	Professional		$2,234.00	$2,520.79	$4,031.52
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,722.08 / $2,326.85 / $4,462.00	Facility		$1,722.08	$2,326.85	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,722.08 / $2,326.85 / $4,462.00	Professional		$1,722.08	$2,326.85	$4,462.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $3,295.00 / $5,790.00	Facility		$1,713.00	$3,295.00	$5,790.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,564.50 / $2,495.94 / $3,855.96	Professional		$1,564.50	$2,495.94	$3,855.96