Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,222.96 / $5,048.00 / $9,539.00	Facility		$2,222.96	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,841.01 / $2,222.96 / $3,106.94	Professional		$1,841.01	$2,222.96	$3,106.94
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 $1,722.79 / $2,193.42 / $3,057.21	Professional		$1,722.79	$2,193.42	$3,057.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,280.77 / $2,540.98 / $4,954.93	Professional		$2,280.77	$2,540.98	$4,954.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,879.09 / $2,569.44 / $4,853.50	Professional		$1,879.09	$2,569.44	$4,853.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,768.89 / $2,122.67 / $2,617.96	Professional		$1,768.89	$2,122.67	$2,617.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,021.84 / $2,515.17 / $3,756.80	Facility		$2,021.84	$2,515.17	$3,756.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,374.00 / $2,702.59 / $4,352.85	Professional		$2,374.00	$2,702.59	$4,352.85
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,839.00 / $2,616.33 / $7,355.74	Facility		$1,839.00	$2,616.33	$7,355.74
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,839.00 / $2,616.33 / $7,355.74	Professional		$1,839.00	$2,616.33	$7,355.74
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 $1,769.16 / $2,996.80 / $4,244.26	Professional		$1,769.16	$2,996.80	$4,244.26