Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,107.42 / $5,048.00 / $9,539.00	Facility		$3,107.42	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,564.11 / $3,107.42 / $3,886.71	Professional		$2,564.11	$3,107.42	$3,886.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,446.30 / $3,110.14 / $4,341.09	Professional		$2,446.30	$3,110.14	$4,341.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,253.81 / $3,589.66 / $6,999.84	Professional		$3,253.81	$3,589.66	$6,999.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,420.28 / $3,156.42 / $6,241.95	Professional		$2,420.28	$3,156.42	$6,241.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,506.89 / $3,008.27 / $3,710.20	Professional		$2,506.89	$3,008.27	$3,710.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,789.23 / $3,512.94 / $5,251.54	Facility		$2,789.23	$3,512.94	$5,251.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,691.00 / $3,490.00 / $6,180.22	Professional		$2,691.00	$3,490.00	$6,180.22
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,070.00 / $3,301.86 / $6,556.40	Facility		$2,070.00	$3,301.86	$6,556.40
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,070.00 / $3,301.86 / $6,556.40	Professional		$2,070.00	$3,301.86	$6,556.40
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 $2,024.88 / $3,133.61 / $5,975.79	Professional		$2,024.88	$3,133.61	$5,975.79