Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,167.78 / $5,048.00 / $9,539.00	Facility		$2,167.78	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,844.90 / $2,167.78 / $2,805.26	Professional		$1,844.90	$2,167.78	$2,805.26
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 $1,710.35 / $2,177.57 / $3,035.10	Professional		$1,710.35	$2,177.57	$3,035.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,277.88 / $2,494.25 / $4,863.79	Professional		$2,277.88	$2,494.25	$4,863.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,872.23 / $2,519.33 / $4,351.72	Professional		$1,872.23	$2,519.33	$4,351.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,754.17 / $2,105.00 / $2,596.17	Professional		$1,754.17	$2,105.00	$2,596.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,114.17 / $2,660.46 / $3,809.25	Facility		$2,114.17	$2,660.46	$3,809.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,409.00 / $2,716.50 / $4,318.85	Professional		$2,409.00	$2,716.50	$4,318.85
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,754.18 / $2,434.98 / $4,570.74	Facility		$1,754.18	$2,434.98	$4,570.74
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,754.18 / $2,434.98 / $4,570.74	Professional		$1,754.18	$2,434.98	$4,570.74
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 $1,681.40 / $2,461.14 / $3,950.02	Professional		$1,681.40	$2,461.14	$3,950.02