Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.68 / $5,048.00 / $9,539.00	Facility		$2,754.68	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,421.73 / $2,754.68 / $3,466.16	Professional		$2,421.73	$2,754.68	$3,466.16
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 $2,169.90 / $2,762.66 / $3,850.60	Professional		$2,169.90	$2,762.66	$3,850.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,863.44 / $2,956.76 / $5,765.68	Professional		$2,863.44	$2,956.76	$5,765.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,405.67 / $3,255.53 / $5,573.63	Professional		$2,405.67	$3,255.53	$5,573.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,216.71 / $2,660.06 / $3,280.75	Professional		$2,216.71	$2,660.06	$3,280.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,754.68 / $3,348.74 / $4,655.41	Facility		$2,754.68	$3,348.74	$4,655.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,214.00 / $3,556.21 / $5,461.75	Professional		$3,214.00	$3,556.21	$5,461.75
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,178.71 / $3,153.94 / $5,854.11	Facility		$2,178.71	$3,153.94	$5,854.11
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,178.71 / $3,153.94 / $5,854.11	Professional		$2,178.71	$3,153.94	$5,854.11
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 $2,137.84 / $3,378.60 / $5,082.93	Professional		$2,137.84	$3,378.60	$5,082.93