Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,260.62 / $5,048.00 / $9,539.00	Facility		$2,260.62	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,875.24 / $2,260.62 / $3,178.53	Professional		$1,875.24	$2,260.62	$3,178.53
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 $1,789.32 / $2,278.11 / $3,175.24	Professional		$1,789.32	$2,278.11	$3,175.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,386.01 / $2,584.25 / $5,039.29	Professional		$2,386.01	$2,584.25	$5,039.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,950.72 / $2,607.75 / $4,539.92	Professional		$1,950.72	$2,607.75	$4,539.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,836.31 / $2,203.57 / $2,717.74	Professional		$1,836.31	$2,203.57	$2,717.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,171.98 / $2,774.40 / $4,021.14	Facility		$2,171.98	$2,774.40	$4,021.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,510.00 / $2,802.00 / $4,520.16	Professional		$2,510.00	$2,802.00	$4,520.16
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,850.71 / $2,589.92 / $4,772.14	Facility		$1,850.71	$2,589.92	$4,772.14
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,850.71 / $2,589.92 / $4,772.14	Professional		$1,850.71	$2,589.92	$4,772.14
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 $1,755.88 / $2,642.20 / $3,937.28	Professional		$1,755.88	$2,642.20	$3,937.28