Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.96 / $5,048.00 / $9,539.00	Facility		$2,616.96	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,180.33 / $2,616.96 / $3,278.48	Professional		$2,180.33	$2,616.96	$3,278.48
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 $2,027.45 / $2,577.63 / $3,597.82	Professional		$2,027.45	$2,577.63	$3,597.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,684.17 / $2,982.66 / $5,816.19	Professional		$2,684.17	$2,982.66	$5,816.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,210.40 / $3,017.19 / $5,736.97	Professional		$2,210.40	$3,017.19	$5,736.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,080.76 / $2,496.91 / $3,079.52	Professional		$2,080.76	$2,496.91	$3,079.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,378.21 / $2,986.62 / $4,422.68	Facility		$2,378.21	$2,986.62	$4,422.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,650.00 / $3,032.00 / $5,122.39	Professional		$2,650.00	$3,032.00	$5,122.39
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,070.00 / $2,977.45 / $7,420.00	Facility		$2,070.00	$2,977.45	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,070.00 / $2,977.45 / $7,420.00	Professional		$2,070.00	$2,977.45	$7,420.00
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 $2,092.02 / $3,722.79 / $5,347.78	Professional		$2,092.02	$3,722.79	$5,347.78