Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,470.05 / $5,048.00 / $9,539.00	Facility		$2,470.05	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,166.34 / $2,470.05 / $3,165.88	Professional		$2,166.34	$2,470.05	$3,165.88
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 $1,941.19 / $2,471.46 / $3,444.74	Professional		$1,941.19	$2,471.46	$3,444.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,579.75 / $2,874.15 / $5,604.59	Professional		$2,579.75	$2,874.15	$5,604.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,111.46 / $2,857.22 / $4,958.68	Professional		$2,111.46	$2,857.22	$4,958.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,987.64 / $2,385.17 / $2,941.71	Professional		$1,987.64	$2,385.17	$2,941.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,470.05 / $3,023.25 / $4,396.50	Facility		$2,470.05	$3,023.25	$4,396.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,719.00 / $3,137.00 / $4,898.09	Professional		$2,719.00	$3,137.00	$4,898.09
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,953.59 / $2,839.01 / $5,208.63	Facility		$1,953.59	$2,839.01	$5,208.63
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,953.59 / $2,839.01 / $5,208.63	Professional		$1,953.59	$2,839.01	$5,208.63
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 $1,912.29 / $2,809.53 / $4,743.01	Professional		$1,912.29	$2,809.53	$4,743.01