Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,739.75 / $5,048.00 / $9,539.00	Facility		$2,739.75	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,398.30 / $2,739.75 / $3,842.69	Professional		$2,398.30	$2,739.75	$3,842.69
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 $2,155.92 / $2,744.87 / $3,825.81	Professional		$2,155.92	$2,744.87	$3,825.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,736.85 / $2,760.33 / $5,382.64	Professional		$2,736.85	$2,760.33	$5,382.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,361.75 / $3,185.12 / $5,499.02	Professional		$2,361.75	$3,185.12	$5,499.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,209.17 / $2,651.00 / $3,269.57	Professional		$2,209.17	$2,651.00	$3,269.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,668.96 / $3,313.13 / $4,683.30	Facility		$2,668.96	$3,313.13	$4,683.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,104.00 / $3,532.13 / $5,441.11	Professional		$3,104.00	$3,532.13	$5,441.11
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,166.90 / $3,090.64 / $5,776.47	Facility		$2,166.90	$3,090.64	$5,776.47
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,166.90 / $3,090.64 / $5,776.47	Professional		$2,166.90	$3,090.64	$5,776.47
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 $2,122.02 / $3,372.90 / $5,263.20	Professional		$2,122.02	$3,372.90	$5,263.20