Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,034.55 / $4,973.03 / $9,539.00	Facility		$2,034.55	$4,973.03	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,635.14 / $2,034.55 / $3,756.92	Professional		$1,635.14	$2,034.55	$3,756.92
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 $1,624.39 / $2,068.13 / $2,882.56	Professional		$1,624.39	$2,068.13	$2,882.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,163.92 / $2,368.46 / $4,618.52	Professional		$2,163.92	$2,368.46	$4,618.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,777.33 / $2,322.75 / $4,131.99	Professional		$1,777.33	$2,322.75	$4,131.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,666.50 / $1,999.80 / $2,466.42	Professional		$1,666.50	$1,999.80	$2,466.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,005.92 / $2,433.41 / $3,589.68	Facility		$2,005.92	$2,433.41	$3,589.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,267.48 / $2,551.00 / $4,102.32	Professional		$2,267.48	$2,551.00	$4,102.32
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,676.72 / $2,302.56 / $4,462.00	Facility		$1,676.72	$2,302.56	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,676.72 / $2,302.56 / $4,462.00	Professional		$1,676.72	$2,302.56	$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 $1,596.83 / $2,291.80 / $3,750.58	Professional		$1,596.83	$2,291.80	$3,750.58