Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,143.31 / $5,048.00 / $9,539.00	Facility		$2,143.31	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,821.01 / $2,143.31 / $3,002.55	Professional		$1,821.01	$2,143.31	$3,002.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,480.37 / $9,394.00 / $12,872.86	Facility		$6,480.37	$9,394.00	$12,872.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,691.81 / $2,153.98 / $3,002.22	Professional		$1,691.81	$2,153.98	$3,002.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,031.15 / $2,046.75 / $3,991.16	Professional		$2,031.15	$2,046.75	$3,991.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,839.35 / $2,533.00 / $4,338.32	Professional		$1,839.35	$2,533.00	$4,338.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,728.70 / $2,074.44 / $2,558.48	Professional		$1,728.70	$2,074.44	$2,558.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,977.69 / $2,611.87 / $3,622.19	Facility		$1,977.69	$2,611.87	$3,622.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,334.00 / $2,700.03 / $4,259.35	Professional		$2,334.00	$2,700.03	$4,259.35
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,773.11 / $2,403.59 / $4,556.72	Facility		$1,773.11	$2,403.59	$4,556.72
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,773.11 / $2,403.59 / $4,556.72	Professional		$1,773.11	$2,403.59	$4,556.72
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 $1,667.75 / $2,686.49 / $4,139.95	Professional		$1,667.75	$2,686.49	$4,139.95