Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,661.93 / $5,048.00 / $9,539.00	Facility		$2,661.93	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,209.59 / $2,661.93 / $3,448.52	Professional		$2,209.59	$2,661.93	$3,448.52
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 $2,103.07 / $2,677.59 / $3,732.02	Professional		$2,103.07	$2,677.59	$3,732.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,801.45 / $3,066.24 / $5,979.17	Professional		$2,801.45	$3,066.24	$5,979.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.08 / $3,104.05 / $5,344.32	Professional		$2,290.08	$3,104.05	$5,344.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,155.78 / $2,586.94 / $3,190.55	Professional		$2,155.78	$2,586.94	$3,190.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,603.13 / $3,266.91 / $4,782.35	Facility		$2,603.13	$3,266.91	$4,782.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,954.00 / $3,295.00 / $5,310.46	Professional		$2,954.00	$3,295.00	$5,310.46
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,105.35 / $3,094.00 / $5,613.87	Facility		$2,105.35	$3,094.00	$5,613.87
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,105.35 / $3,094.00 / $5,613.87	Professional		$2,105.35	$3,094.00	$5,613.87
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 $2,065.09 / $3,126.77 / $5,099.95	Professional		$2,065.09	$3,126.77	$5,099.95