Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,324.83 / $5,048.00 / $9,539.00	Facility		$2,324.83	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,931.08 / $2,324.83 / $3,226.00	Professional		$1,931.08	$2,324.83	$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 $1,832.45 / $2,329.71 / $3,251.78	Professional		$1,832.45	$2,329.71	$3,251.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,439.67 / $2,645.63 / $5,158.97	Professional		$2,439.67	$2,645.63	$5,158.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,051.79 / $2,586.36 / $4,664.29	Professional		$2,051.79	$2,586.36	$4,664.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,879.56 / $2,255.46 / $2,781.75	Professional		$1,879.56	$2,255.46	$2,781.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,324.83 / $2,721.07 / $4,085.29	Facility		$2,324.83	$2,721.07	$4,085.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,490.00 / $2,878.00 / $4,626.97	Professional		$2,490.00	$2,878.00	$4,626.97
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,807.00 / $2,561.44 / $4,899.22	Facility		$1,807.00	$2,561.44	$4,899.22
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,807.00 / $2,561.44 / $4,899.22	Professional		$1,807.00	$2,561.44	$4,899.22
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 $1,779.19 / $2,595.71 / $4,451.02	Professional		$1,779.19	$2,595.71	$4,451.02