Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,597.39 / $5,048.00 / $9,539.00	Facility		$2,597.39	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,350.90 / $2,597.39 / $3,361.74	Professional		$2,350.90	$2,597.39	$3,361.74
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 $2,112.48 / $2,689.58 / $3,748.74	Professional		$2,112.48	$2,689.58	$3,748.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,809.07 / $3,117.33 / $6,078.79	Professional		$2,809.07	$3,117.33	$6,078.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,299.33 / $3,162.12 / $5,388.39	Professional		$2,299.33	$3,162.12	$5,388.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,164.48 / $2,597.38 / $3,203.43	Professional		$2,164.48	$2,597.38	$3,203.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,597.39 / $3,290.29 / $4,721.37	Facility		$2,597.39	$3,290.29	$4,721.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,138.00 / $3,410.00 / $5,331.89	Professional		$3,138.00	$3,410.00	$5,331.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,070.00 / $3,068.32 / $5,660.23	Facility		$2,070.00	$3,068.32	$5,660.23
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,070.00 / $3,068.32 / $5,660.23	Professional		$2,070.00	$3,068.32	$5,660.23
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 $2,078.96 / $3,344.47 / $5,156.41	Professional		$2,078.96	$3,344.47	$5,156.41