Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,210.26 / $5,048.00 / $9,539.00	Facility		$2,210.26	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,836.27 / $2,210.26 / $3,102.15	Professional		$1,836.27	$2,210.26	$3,102.15
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 $1,743.45 / $2,219.71 / $3,093.85	Professional		$1,743.45	$2,219.71	$3,093.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,321.75 / $2,574.00 / $5,019.30	Professional		$2,321.75	$2,574.00	$5,019.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,899.16 / $2,612.13 / $4,437.31	Professional		$1,899.16	$2,612.13	$4,437.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,787.78 / $2,145.34 / $2,645.91	Professional		$1,787.78	$2,145.34	$2,645.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,154.38 / $2,712.60 / $3,899.82	Facility		$2,154.38	$2,712.60	$3,899.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,455.00 / $2,738.00 / $4,402.46	Professional		$2,455.00	$2,738.00	$4,402.46
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,828.50 / $2,555.53 / $4,660.70	Facility		$1,828.50	$2,555.53	$4,660.70
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,828.50 / $2,555.53 / $4,660.70	Professional		$1,828.50	$2,555.53	$4,660.70
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 $1,714.31 / $2,694.78 / $3,860.15	Professional		$1,714.31	$2,694.78	$3,860.15