Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,399.58 / $5,048.00 / $9,539.00	Facility		$2,399.58	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,099.25 / $2,399.58 / $3,088.92	Professional		$2,099.25	$2,399.58	$3,088.92
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 $1,888.94 / $2,404.96 / $3,352.04	Professional		$1,888.94	$2,404.96	$3,352.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,512.75 / $2,787.61 / $5,435.84	Professional		$2,512.75	$2,787.61	$5,435.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,056.25 / $2,835.86 / $4,817.67	Professional		$2,056.25	$2,835.86	$4,817.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,935.66 / $2,322.79 / $2,864.78	Professional		$1,935.66	$2,322.79	$2,864.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,399.57 / $2,943.14 / $4,299.22	Facility		$2,399.57	$2,943.14	$4,299.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,807.00 / $3,048.00 / $4,768.13	Professional		$2,807.00	$3,048.00	$4,768.13
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,954.37 / $2,793.81 / $5,060.43	Facility		$1,954.37	$2,793.81	$5,060.43
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,954.37 / $2,793.81 / $5,060.43	Professional		$1,954.37	$2,793.81	$5,060.43
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 $1,859.54 / $2,851.29 / $4,372.97	Professional		$1,859.54	$2,851.29	$4,372.97