Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,622.76 / $5,048.00 / $9,539.00	Facility		$2,622.76	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,300.21 / $2,622.76 / $3,281.61	Professional		$2,300.21	$2,622.76	$3,281.61
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 $2,060.25 / $2,623.06 / $3,656.03	Professional		$2,060.25	$2,623.06	$3,656.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,737.55 / $3,012.54 / $5,874.45	Professional		$2,737.55	$3,012.54	$5,874.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,240.73 / $3,032.53 / $5,264.80	Professional		$2,240.73	$3,032.53	$5,264.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,109.32 / $2,531.17 / $3,121.79	Professional		$2,109.32	$2,531.17	$3,121.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,622.75 / $3,208.64 / $4,669.74	Facility		$2,622.75	$3,208.64	$4,669.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,876.00 / $3,329.00 / $5,198.62	Professional		$2,876.00	$3,329.00	$5,198.62
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,070.00 / $3,016.07 / $5,530.32	Facility		$2,070.00	$3,016.07	$5,530.32
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,070.00 / $3,016.07 / $5,530.32	Professional		$2,070.00	$3,016.07	$5,530.32
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 $2,030.06 / $3,071.59 / $4,778.83	Professional		$2,030.06	$3,071.59	$4,778.83