Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,217.96 / $5,048.00 / $9,539.00	Facility		$2,217.96	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,940.95 / $2,217.96 / $2,777.51	Professional		$1,940.95	$2,217.96	$2,777.51
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 $1,745.27 / $2,222.04 / $3,097.09	Professional		$1,745.27	$2,222.04	$3,097.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,321.37 / $2,554.61 / $4,981.49	Professional		$2,321.37	$2,554.61	$4,981.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,899.69 / $2,492.61 / $4,451.18	Professional		$1,899.69	$2,492.61	$4,451.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,788.28 / $2,145.94 / $2,646.65	Professional		$1,788.28	$2,145.94	$2,646.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,217.96 / $2,616.28 / $3,897.67	Facility		$2,217.96	$2,616.28	$3,897.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,550.00 / $2,767.00 / $4,405.27	Professional		$2,550.00	$2,767.00	$4,405.27
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,788.28 / $2,535.90 / $4,675.29	Facility		$1,788.28	$2,535.90	$4,675.29
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,788.28 / $2,535.90 / $4,675.29	Professional		$1,788.28	$2,535.90	$4,675.29
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 $1,717.73 / $2,514.87 / $4,260.43	Professional		$1,717.73	$2,514.87	$4,260.43