Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,972.43 / $5,048.00 / $9,539.00	Facility		$2,972.43	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,460.85 / $2,972.43 / $5,455.20	Professional		$2,460.85	$2,972.43	$5,455.20
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 $2,322.48 / $2,955.29 / $4,124.96	Professional		$2,322.48	$2,955.29	$4,124.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,951.58 / $2,987.47 / $5,825.57	Professional		$2,951.58	$2,987.47	$5,825.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,870.83 / $2,966.50 / $6,059.05	Professional		$1,870.83	$2,966.50	$6,059.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,392.10 / $2,870.52 / $3,540.31	Professional		$2,392.10	$2,870.52	$3,540.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,409.66 / $3,269.67 / $4,855.87	Facility		$2,409.66	$3,269.67	$4,855.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,205.79 / $3,357.00 / $5,880.96	Professional		$2,205.79	$3,357.00	$5,880.96
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,820.89 / $3,184.83 / $6,365.00	Facility		$1,820.89	$3,184.83	$6,365.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,820.89 / $3,184.83 / $6,365.00	Professional		$1,820.89	$3,184.83	$6,365.00
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 $1,729.79 / $2,683.12 / $5,499.76	Professional		$1,729.79	$2,683.12	$5,499.76