Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,036.99 / $4,911.64 / $9,539.00	Facility		$2,036.99	$4,911.64	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,687.38 / $2,036.99 / $2,666.57	Professional		$1,687.38	$2,036.99	$2,666.57
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 $1,615.57 / $2,056.92 / $2,866.94	Professional		$1,615.57	$2,056.92	$2,866.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,157.05 / $2,327.40 / $4,538.43	Professional		$2,157.05	$2,327.40	$4,538.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,762.04 / $2,407.36 / $4,091.82	Professional		$1,762.04	$2,407.36	$4,091.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,659.81 / $1,991.77 / $2,456.52	Professional		$1,659.81	$1,991.77	$2,456.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,958.67 / $2,499.94 / $3,661.52	Facility		$1,958.67	$2,499.94	$3,661.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,262.00 / $2,552.55 / $4,083.05	Professional		$2,262.00	$2,552.55	$4,083.05
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,736.00 / $2,344.32 / $4,462.00	Facility		$1,736.00	$2,344.32	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,736.00 / $2,344.32 / $4,462.00	Professional		$1,736.00	$2,344.32	$4,462.00
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 $1,584.47 / $2,546.84 / $3,655.18	Professional		$1,584.47	$2,546.84	$3,655.18