Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,303.40 / $5,048.00 / $9,539.00	Facility		$2,303.40	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,913.98 / $2,303.40 / $3,226.00	Professional		$1,913.98	$2,303.40	$3,226.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,955.00 / $11,210.00 / $17,424.00	Facility		$8,955.00	$11,210.00	$17,424.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,815.74 / $2,308.46 / $3,222.13	Professional		$1,815.74	$2,308.46	$3,222.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,417.62 / $2,658.70 / $5,184.46	Professional		$2,417.62	$2,658.70	$5,184.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,977.60 / $2,628.91 / $4,621.87	Professional		$1,977.60	$2,628.91	$4,621.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,861.62 / $2,233.94 / $2,755.20	Professional		$1,861.62	$2,233.94	$2,755.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,303.40 / $2,735.94 / $3,892.75	Facility		$2,303.40	$2,735.94	$3,892.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,558.00 / $2,853.00 / $4,584.67	Professional		$2,558.00	$2,853.00	$4,584.67
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,878.97 / $2,573.94 / $4,854.64	Facility		$1,878.97	$2,573.94	$4,854.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,878.97 / $2,573.94 / $4,854.64	Professional		$1,878.97	$2,573.94	$4,854.64
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 $1,785.28 / $2,667.47 / $4,410.53	Professional		$1,785.28	$2,667.47	$4,410.53