Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,381.71 / $5,048.00 / $9,539.00	Facility		$2,381.71	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,079.63 / $2,381.71 / $3,226.00	Professional		$2,079.63	$2,381.71	$3,226.00
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 $1,877.71 / $2,390.65 / $3,332.10	Professional		$1,877.71	$2,390.65	$3,332.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,499.79 / $2,771.13 / $5,403.70	Professional		$2,499.79	$2,771.13	$5,403.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,045.06 / $2,814.75 / $4,781.83	Professional		$2,045.06	$2,814.75	$4,781.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,925.12 / $2,310.14 / $2,849.18	Professional		$1,925.12	$2,310.14	$2,849.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,330.54 / $2,845.95 / $4,025.09	Facility		$2,330.54	$2,845.95	$4,025.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,599.00 / $3,065.59 / $4,740.72	Professional		$2,599.00	$3,065.59	$4,740.72
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,943.17 / $2,755.94 / $5,022.76	Facility		$1,943.17	$2,755.94	$5,022.76
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,943.17 / $2,755.94 / $5,022.76	Professional		$1,943.17	$2,755.94	$5,022.76
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 $1,847.00 / $3,006.15 / $4,581.08	Professional		$1,847.00	$3,006.15	$4,581.08