Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,293.27 / $5,048.00 / $9,539.00	Facility		$2,293.27	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,001.43 / $2,293.27 / $3,218.41	Professional		$2,001.43	$2,293.27	$3,218.41
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 $1,808.45 / $2,302.48 / $3,209.20	Professional		$1,808.45	$2,302.48	$3,209.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,408.02 / $2,669.05 / $5,204.64	Professional		$2,408.02	$2,669.05	$5,204.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,969.28 / $2,710.22 / $4,601.47	Professional		$1,969.28	$2,710.22	$4,601.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,853.79 / $2,224.55 / $2,743.61	Professional		$1,853.79	$2,224.55	$2,743.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,293.27 / $2,738.10 / $3,875.63	Facility		$2,293.27	$2,738.10	$3,875.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,503.00 / $2,950.56 / $4,566.10	Professional		$2,503.00	$2,950.56	$4,566.10
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,897.16 / $2,652.52 / $4,833.22	Facility		$1,897.16	$2,652.52	$4,833.22
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,897.16 / $2,652.52 / $4,833.22	Professional		$1,897.16	$2,652.52	$4,833.22
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 $1,777.42 / $2,892.43 / $4,391.08	Professional		$1,777.42	$2,892.43	$4,391.08