Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,696.42 / $5,048.00 / $10,767.00	Facility		$2,696.42	$5,048.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,060.14 / $2,696.42 / $2,836.85	Professional		$2,060.14	$2,696.42	$2,836.85
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 $2,359.67 / $3,002.81 / $4,131.14	Professional		$2,359.67	$3,002.81	$4,131.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,743.70 / $2,743.70 / $5,350.21	Professional		$2,743.70	$2,743.70	$5,350.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,208.61 / $2,990.45 / $4,995.09	Professional		$2,208.61	$2,990.45	$4,995.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,957.80 / $2,349.36 / $2,897.54	Professional		$1,957.80	$2,349.36	$2,897.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,225.64 / $2,731.47 / $4,106.64	Facility		$2,225.64	$2,731.47	$4,106.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,961.00 / $3,539.00 / $5,126.47	Professional		$2,961.00	$3,539.00	$5,126.47
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,818.85 / $2,641.82 / $8,615.59	Facility		$1,818.85	$2,641.82	$8,615.59
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,818.85 / $2,641.82 / $8,615.59	Professional		$1,818.85	$2,641.82	$8,615.59
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 $1,563.73 / $2,321.80 / $3,489.90	Professional		$1,563.73	$2,321.80	$3,489.90