Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,331.02 / $5,048.00 / $9,539.00	Facility		$2,331.02	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,231.42 / $2,331.02 / $3,226.00	Professional		$2,231.42	$2,331.02	$3,226.00
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 $1,852.80 / $2,358.94 / $3,287.89	Professional		$1,852.80	$2,358.94	$3,287.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,400.02 / $2,446.21 / $4,680.04	Professional		$2,400.02	$2,446.21	$4,680.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,054.39 / $2,754.85 / $4,753.02	Professional		$2,054.39	$2,754.85	$4,753.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,892.45 / $2,270.94 / $2,800.83	Professional		$1,892.45	$2,270.94	$2,800.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,331.02 / $2,858.24 / $3,939.42	Facility		$2,331.02	$2,858.24	$3,939.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,744.00 / $3,299.40 / $4,663.99	Professional		$2,744.00	$3,299.40	$4,663.99
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,928.00 / $2,743.00 / $5,086.97	Facility		$1,928.00	$2,743.00	$5,086.97
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,928.00 / $2,743.00 / $5,086.97	Professional		$1,928.00	$2,743.00	$5,086.97
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 $1,823.75 / $2,796.42 / $4,359.04	Professional		$1,823.75	$2,796.42	$4,359.04