Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,237.02 / $4,796.00 / $10,767.00	Facility		$2,237.02	$4,796.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,860.62 / $2,237.02 / $2,799.99	Professional		$1,860.62	$2,237.02	$2,799.99
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 $1,759.25 / $2,239.83 / $3,121.89	Professional		$1,759.25	$2,239.83	$3,121.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,338.96 / $2,571.82 / $5,015.05	Professional		$2,338.96	$2,571.82	$5,015.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,930.05 / $2,606.38 / $4,489.43	Professional		$1,930.05	$2,606.38	$4,489.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,801.19 / $2,161.42 / $2,665.76	Professional		$1,801.19	$2,161.42	$2,665.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,182.31 / $2,739.28 / $3,955.14	Facility		$2,182.31	$2,739.28	$3,955.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,483.00 / $2,766.00 / $4,439.76	Professional		$2,483.00	$2,766.00	$4,439.76
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,828.32 / $2,554.21 / $4,715.50	Facility		$1,828.32	$2,554.21	$4,715.50
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,828.32 / $2,554.21 / $4,715.50	Professional		$1,828.32	$2,554.21	$4,715.50
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 $1,731.87 / $2,560.07 / $4,075.03	Professional		$1,731.87	$2,560.07	$4,075.03