Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,390.98 / $5,048.00 / $9,539.00	Facility		$2,390.98	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,032.58 / $2,390.98 / $3,443.16	Professional		$2,032.58	$2,390.98	$3,443.16
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 $1,937.54 / $2,466.83 / $3,438.28	Professional		$1,937.54	$2,466.83	$3,438.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,582.48 / $2,798.06 / $5,456.22	Professional		$2,582.48	$2,798.06	$5,456.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,111.04 / $2,854.69 / $4,919.70	Professional		$2,111.04	$2,854.69	$4,919.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,987.24 / $2,384.69 / $2,941.12	Professional		$1,987.24	$2,384.69	$2,941.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,353.42 / $3,007.27 / $4,375.49	Facility		$2,353.42	$3,007.27	$4,375.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,719.00 / $3,034.00 / $4,893.77	Professional		$2,719.00	$3,034.00	$4,893.77
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,005.85 / $2,762.19 / $5,167.63	Facility		$2,005.85	$2,762.19	$5,167.63
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,005.85 / $2,762.19 / $5,167.63	Professional		$2,005.85	$2,762.19	$5,167.63
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 $1,902.08 / $2,883.29 / $4,465.58	Professional		$1,902.08	$2,883.29	$4,465.58