Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,135.73 / $5,048.00 / $9,539.00	Facility		$2,135.73	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,867.84 / $2,135.73 / $2,996.69	Professional		$1,867.84	$2,135.73	$2,996.69
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 $1,680.58 / $2,139.67 / $2,982.28	Professional		$1,680.58	$2,139.67	$2,982.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,235.63 / $2,457.42 / $4,791.97	Professional		$2,235.63	$2,457.42	$4,791.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,841.89 / $2,474.63 / $4,287.01	Professional		$1,841.89	$2,474.63	$4,287.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,721.62 / $2,065.94 / $2,548.00	Professional		$1,721.62	$2,065.94	$2,548.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,083.31 / $2,618.96 / $3,753.07	Facility		$2,083.31	$2,618.96	$3,753.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,369.00 / $2,714.00 / $4,242.22	Professional		$2,369.00	$2,714.00	$4,242.22
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,735.73 / $2,397.19 / $4,502.77	Facility		$1,735.73	$2,397.19	$4,502.77
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,735.73 / $2,397.19 / $4,502.77	Professional		$1,735.73	$2,397.19	$4,502.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $3,295.00 / $5,790.00	Facility		$1,713.00	$3,295.00	$5,790.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,654.72 / $2,336.65 / $3,891.29	Professional		$1,654.72	$2,336.65	$3,891.29