Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,463.33 / $5,048.00 / $10,767.00	Facility		$2,463.33	$5,048.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,869.91 / $2,463.33 / $3,014.28	Professional		$1,869.91	$2,463.33	$3,014.28
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 $1,884.44 / $2,398.05 / $3,299.13	Professional		$1,884.44	$2,398.05	$3,299.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,718.06 / $2,718.06 / $5,300.22	Professional		$2,718.06	$2,718.06	$5,300.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,998.95 / $2,807.54 / $4,706.43	Professional		$1,998.95	$2,807.54	$4,706.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,850.88 / $2,221.05 / $2,739.30	Professional		$1,850.88	$2,221.05	$2,739.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,096.80 / $2,573.34 / $3,760.14	Facility		$2,096.80	$2,573.34	$3,760.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,633.00 / $3,343.00 / $4,812.93	Professional		$2,633.00	$3,343.00	$4,812.93
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,755.18 / $2,498.67 / $8,117.56	Facility		$1,755.18	$2,498.67	$8,117.56
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,755.18 / $2,498.67 / $8,117.56	Professional		$1,755.18	$2,498.67	$8,117.56
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 $1,478.74 / $2,202.31 / $3,366.17	Professional		$1,478.74	$2,202.31	$3,366.17