Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,453.33 / $5,048.00 / $9,539.00	Facility		$2,453.33	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,123.21 / $2,453.33 / $3,109.98	Professional		$2,123.21	$2,453.33	$3,109.98
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 $1,947.56 / $2,476.07 / $3,456.07	Professional		$1,947.56	$2,476.07	$3,456.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,524.06 / $2,570.90 / $4,921.92	Professional		$2,524.06	$2,570.90	$4,921.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,159.65 / $2,899.39 / $4,999.07	Professional		$2,159.65	$2,899.39	$4,999.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,989.61 / $2,387.53 / $2,944.62	Professional		$1,989.61	$2,387.53	$2,944.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,453.33 / $3,005.17 / $4,146.13	Facility		$2,453.33	$3,005.17	$4,146.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,813.00 / $3,120.00 / $4,902.60	Professional		$2,813.00	$3,120.00	$4,902.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,016.91 / $2,823.26 / $5,251.15	Facility		$2,016.91	$2,823.26	$5,251.15
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,016.91 / $2,823.26 / $5,251.15	Professional		$2,016.91	$2,823.26	$5,251.15
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 $1,917.98 / $3,031.24 / $4,537.63	Professional		$1,917.98	$3,031.24	$4,537.63