Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,198.76 / $5,048.00 / $9,539.00	Facility		$2,198.76	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,855.95 / $2,198.76 / $4,104.57	Professional		$1,855.95	$2,198.76	$4,104.57
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 $1,761.68 / $2,242.92 / $3,126.19	Professional		$1,761.68	$2,242.92	$3,126.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,345.96 / $2,569.26 / $5,010.06	Professional		$2,345.96	$2,569.26	$5,010.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,930.12 / $2,598.54 / $4,483.68	Professional		$1,930.12	$2,598.54	$4,483.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,806.11 / $2,167.33 / $2,673.04	Professional		$1,806.11	$2,167.33	$2,673.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,176.80 / $2,640.22 / $3,715.90	Facility		$2,176.80	$2,640.22	$3,715.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,438.00 / $2,793.00 / $4,448.35	Professional		$2,438.00	$2,793.00	$4,448.35
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,823.17 / $2,539.10 / $4,709.43	Facility		$1,823.17	$2,539.10	$4,709.43
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,823.17 / $2,539.10 / $4,709.43	Professional		$1,823.17	$2,539.10	$4,709.43
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 $1,732.16 / $2,664.36 / $4,296.25	Professional		$1,732.16	$2,664.36	$4,296.25