Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,049.46 / $5,048.00 / $10,767.00	Facility		$2,049.46	$5,048.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,539.09 / $2,049.46 / $2,275.34	Professional		$1,539.09	$2,049.46	$2,275.34
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 $1,676.79 / $2,133.80 / $2,935.59	Professional		$1,676.79	$2,133.80	$2,935.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,589.85 / $2,589.85 / $5,050.21	Professional		$2,589.85	$2,589.85	$5,050.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,617.54 / $2,378.07 / $4,127.31	Professional		$1,617.54	$2,378.07	$4,127.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,558.88 / $1,870.65 / $2,307.14	Professional		$1,558.88	$1,870.65	$2,307.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,813.45 / $2,189.92 / $3,202.97	Facility		$1,813.45	$2,189.92	$3,202.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,105.00 / $2,990.00 / $3,845.86	Professional		$2,105.00	$2,990.00	$3,845.86
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,576.43 / $2,224.00 / $7,420.00	Facility		$1,576.43	$2,224.00	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,576.43 / $2,224.00 / $7,420.00	Professional		$1,576.43	$2,224.00	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $3,295.00 / $5,790.00	Facility		$1,713.00	$3,295.00	$5,790.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,360.20 / $2,184.56 / $4,605.35	Professional		$1,360.20	$2,184.56	$4,605.35