Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,050.46 / $4,951.10 / $9,539.00	Facility		$2,050.46	$4,951.10	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,746.28 / $2,050.46 / $3,981.98	Professional		$1,746.28	$2,050.46	$3,981.98
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 $1,619.22 / $2,061.55 / $2,873.40	Professional		$1,619.22	$2,061.55	$2,873.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,157.85 / $2,357.51 / $4,597.14	Professional		$2,157.85	$2,357.51	$4,597.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,771.42 / $2,423.29 / $4,118.71	Professional		$1,771.42	$2,423.29	$4,118.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,661.55 / $1,993.86 / $2,459.09	Professional		$1,661.55	$1,993.86	$2,459.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,996.01 / $2,516.48 / $3,634.56	Facility		$1,996.01	$2,516.48	$3,634.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,391.00 / $2,604.00 / $4,089.86	Professional		$2,391.00	$2,604.00	$4,089.86
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,736.00 / $2,370.96 / $4,462.00	Facility		$1,736.00	$2,370.96	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,736.00 / $2,370.96 / $4,462.00	Professional		$1,736.00	$2,370.96	$4,462.00
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 $1,592.34 / $2,549.69 / $3,949.45	Professional		$1,592.34	$2,549.69	$3,949.45