Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,068.17 / $4,980.72 / $9,539.00	Facility		$2,068.17	$4,980.72	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,723.07 / $2,068.17 / $4,078.06	Professional		$1,723.07	$2,068.17	$4,078.06
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 $1,655.37 / $2,107.58 / $2,937.54	Professional		$1,655.37	$2,107.58	$2,937.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,211.86 / $2,388.53 / $4,657.63	Professional		$2,211.86	$2,388.53	$4,657.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,807.01 / $2,441.06 / $4,184.04	Professional		$1,807.01	$2,441.06	$4,184.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,701.04 / $2,041.25 / $2,517.54	Professional		$1,701.04	$2,041.25	$2,517.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,011.72 / $2,538.23 / $3,672.45	Facility		$2,011.72	$2,538.23	$3,672.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,311.00 / $2,584.00 / $4,184.66	Professional		$2,311.00	$2,584.00	$4,184.66
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,736.00 / $2,361.71 / $4,462.00	Facility		$1,736.00	$2,361.71	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,736.00 / $2,361.71 / $4,462.00	Professional		$1,736.00	$2,361.71	$4,462.00
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 $1,621.13 / $2,540.92 / $4,020.86	Professional		$1,621.13	$2,540.92	$4,020.86