Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,505.89 / $5,048.00 / $10,767.00	Facility		$2,505.89	$5,048.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.58 / $2,505.89 / $2,762.42	Professional		$1,905.58	$2,505.89	$2,762.42
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 $2,532.32 / $3,222.50 / $4,433.39	Professional		$2,532.32	$3,222.50	$4,433.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,641.14 / $2,641.14 / $5,150.22	Professional		$2,641.14	$2,641.14	$5,150.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,047.48 / $2,887.68 / $5,012.59	Professional		$2,047.48	$2,887.68	$5,012.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,895.41 / $2,274.50 / $2,805.21	Professional		$1,895.41	$2,274.50	$2,805.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,130.01 / $2,658.72 / $3,889.20	Facility		$2,130.01	$2,658.72	$3,889.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,697.00 / $3,630.00 / $4,670.35	Professional		$2,697.00	$3,630.00	$4,670.35
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,780.24 / $2,651.08 / $8,645.77	Facility		$1,780.24	$2,651.08	$8,645.77
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,780.24 / $2,651.08 / $8,645.77	Professional		$1,780.24	$2,651.08	$8,645.77
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 $1,514.39 / $2,313.46 / $3,361.05	Professional		$1,514.39	$2,313.46	$3,361.05