Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,580.40 / $5,048.00 / $9,539.00	Facility		$2,580.40	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,254.04 / $2,580.40 / $3,625.19	Professional		$2,254.04	$2,580.40	$3,625.19
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 $2,033.83 / $2,589.42 / $3,609.14	Professional		$2,033.83	$2,589.42	$3,609.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,706.48 / $2,966.53 / $5,784.73	Professional		$2,706.48	$2,966.53	$5,784.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,213.42 / $2,994.92 / $5,182.12	Professional		$2,213.42	$2,994.92	$5,182.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,083.61 / $2,500.33 / $3,083.74	Professional		$2,083.61	$2,500.33	$3,083.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,519.48 / $3,166.84 / $4,598.89	Facility		$2,519.48	$3,166.84	$4,598.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,008.00 / $3,276.00 / $5,134.14	Professional		$3,008.00	$3,276.00	$5,134.14
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,070.00 / $2,949.51 / $5,443.43	Facility		$2,070.00	$2,949.51	$5,443.43
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,070.00 / $2,949.51 / $5,443.43	Professional		$2,070.00	$2,949.51	$5,443.43
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 $2,000.81 / $3,138.22 / $4,564.03	Professional		$2,000.81	$3,138.22	$4,564.03