Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,147.98 / $5,348.20 / $14,796.00	Facility		$2,147.98	$5,348.20	$14,796.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,921.82 / $2,147.98 / $3,118.92	Professional		$1,921.82	$2,147.98	$3,118.92
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 $1,758.94 / $2,239.44 / $3,121.34	Professional		$1,758.94	$2,239.44	$3,121.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,348.23 / $2,598.17 / $5,066.45	Professional		$2,348.23	$2,598.17	$5,066.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,918.82 / $2,596.86 / $4,453.87	Professional		$1,918.82	$2,596.86	$4,453.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,806.29 / $2,167.55 / $2,673.31	Professional		$1,806.29	$2,167.55	$2,673.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,147.98 / $2,721.87 / $3,984.82	Facility		$2,147.98	$2,721.87	$3,984.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,587.00 / $2,843.00 / $4,445.04	Professional		$2,587.00	$2,843.00	$4,445.04
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,821.89 / $2,572.78 / $4,691.01	Facility		$1,821.89	$2,572.78	$4,691.01
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,821.89 / $2,572.78 / $4,691.01	Professional		$1,821.89	$2,572.78	$4,691.01
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 $1,724.45 / $2,803.57 / $4,277.13	Professional		$1,724.45	$2,803.57	$4,277.13