Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,105.50 / $5,048.00 / $9,539.00	Facility		$2,105.50	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,790.74 / $2,105.50 / $2,989.31	Professional		$1,790.74	$2,105.50	$2,989.31
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 $1,684.83 / $2,145.09 / $2,989.82	Professional		$1,684.83	$2,145.09	$2,989.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,225.00 / $2,476.33 / $4,828.84	Professional		$2,225.00	$2,476.33	$4,828.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,869.97 / $2,488.32 / $4,318.79	Professional		$1,869.97	$2,488.32	$4,318.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,722.08 / $2,066.50 / $2,548.67	Professional		$1,722.08	$2,066.50	$2,548.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,105.50 / $2,618.92 / $3,853.07	Facility		$2,105.50	$2,618.92	$3,853.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,390.00 / $2,727.00 / $4,241.78	Professional		$2,390.00	$2,727.00	$4,241.78
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,743.22 / $2,514.25 / $4,536.22	Facility		$1,743.22	$2,514.25	$4,536.22
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,743.22 / $2,514.25 / $4,536.22	Professional		$1,743.22	$2,514.25	$4,536.22
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 $1,657.38 / $2,719.10 / $4,110.77	Professional		$1,657.38	$2,719.10	$4,110.77