Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,614.61 / $5,048.00 / $9,539.00	Facility		$2,614.61	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,235.52 / $2,614.61 / $3,684.96	Professional		$2,235.52	$2,614.61	$3,684.96
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 $2,074.83 / $2,637.86 / $3,681.90	Professional		$2,074.83	$2,637.86	$3,681.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,686.28 / $2,738.71 / $5,238.25	Professional		$2,686.28	$2,738.71	$5,238.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,301.44 / $3,089.99 / $5,326.74	Professional		$2,301.44	$3,089.99	$5,326.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,120.21 / $2,544.26 / $3,137.93	Professional		$2,120.21	$2,544.26	$3,137.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,614.61 / $3,202.79 / $4,418.68	Facility		$2,614.61	$3,202.79	$4,418.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,971.00 / $3,309.87 / $5,223.00	Professional		$2,971.00	$3,309.87	$5,223.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,070.00 / $3,018.23 / $5,595.51	Facility		$2,070.00	$3,018.23	$5,595.51
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,070.00 / $3,018.23 / $5,595.51	Professional		$2,070.00	$3,018.23	$5,595.51
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 $2,043.61 / $3,225.55 / $5,068.72	Professional		$2,043.61	$3,225.55	$5,068.72