Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,269.48 / $5,048.00 / $9,539.00	Facility		$2,269.48	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,885.60 / $2,269.48 / $3,185.26	Professional		$1,885.60	$2,269.48	$3,185.26
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 $1,790.23 / $2,279.27 / $3,176.86	Professional		$1,790.23	$2,279.27	$3,176.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,383.80 / $2,557.52 / $4,987.16	Professional		$2,383.80	$2,557.52	$4,987.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.54 / $2,675.02 / $4,555.10	Professional		$1,949.54	$2,675.02	$4,555.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,835.21 / $2,202.25 / $2,716.11	Professional		$1,835.21	$2,202.25	$2,716.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,150.33 / $2,785.28 / $4,038.87	Facility		$2,150.33	$2,785.28	$4,038.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,520.00 / $2,843.08 / $4,520.21	Professional		$2,520.00	$2,843.08	$4,520.21
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,877.49 / $2,595.67 / $4,784.49	Facility		$1,877.49	$2,595.67	$4,784.49
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,877.49 / $2,595.67 / $4,784.49	Professional		$1,877.49	$2,595.67	$4,784.49
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 $1,743.73 / $2,697.99 / $4,134.64	Professional		$1,743.73	$2,697.99	$4,134.64