Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,216.38 / $5,048.00 / $9,539.00	Facility		$2,216.38	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,884.03 / $2,216.38 / $4,173.68	Professional		$1,884.03	$2,216.38	$4,173.68
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 $1,796.60 / $2,287.40 / $3,188.18	Professional		$1,796.60	$2,287.40	$3,188.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,395.17 / $2,653.29 / $5,173.92	Professional		$2,395.17	$2,653.29	$5,173.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,963.92 / $2,647.23 / $4,559.52	Professional		$1,963.92	$2,647.23	$4,559.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,843.65 / $2,212.38 / $2,728.60	Professional		$1,843.65	$2,212.38	$2,728.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,212.33 / $2,760.83 / $3,927.29	Facility		$2,212.33	$2,760.83	$3,927.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,521.00 / $2,814.00 / $4,538.10	Professional		$2,521.00	$2,814.00	$4,538.10
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,859.95 / $2,580.03 / $4,790.14	Facility		$1,859.95	$2,580.03	$4,790.14
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,859.95 / $2,580.03 / $4,790.14	Professional		$1,859.95	$2,580.03	$4,790.14
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 $1,763.05 / $2,537.50 / $4,138.63	Professional		$1,763.05	$2,537.50	$4,138.63