Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,327.96 / $5,048.00 / $9,539.00	Facility		$2,327.96	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,934.71 / $2,327.96 / $3,009.24	Professional		$1,934.71	$2,327.96	$3,009.24
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 $1,836.40 / $2,338.06 / $3,258.79	Professional		$1,836.40	$2,338.06	$3,258.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,444.96 / $2,635.53 / $5,139.28	Professional		$2,444.96	$2,635.53	$5,139.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,004.81 / $2,751.23 / $4,674.34	Professional		$2,004.81	$2,751.23	$4,674.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,882.88 / $2,259.46 / $2,786.66	Professional		$1,882.88	$2,259.46	$2,786.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,229.04 / $2,857.05 / $4,260.18	Facility		$2,229.04	$2,857.05	$4,260.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,586.00 / $2,883.00 / $4,636.56	Professional		$2,586.00	$2,883.00	$4,636.56
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,925.87 / $2,703.24 / $4,909.80	Facility		$1,925.87	$2,703.24	$4,909.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,925.87 / $2,703.24 / $4,909.80	Professional		$1,925.87	$2,703.24	$4,909.80
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 $1,805.51 / $2,776.08 / $4,242.85	Professional		$1,805.51	$2,776.08	$4,242.85