Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,435.73 / $5,048.00 / $9,539.00	Facility		$2,435.73	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,007.71 / $2,435.73 / $3,226.00	Professional		$2,007.71	$2,435.73	$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 $1,953.34 / $2,483.40 / $3,466.30	Professional		$1,953.34	$2,483.40	$3,466.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,377.83 / $2,506.39 / $4,887.46	Professional		$2,377.83	$2,506.39	$4,887.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,777.23 / $2,441.46 / $4,927.27	Professional		$1,777.23	$2,441.46	$4,927.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,008.16 / $2,409.79 / $2,972.08	Professional		$2,008.16	$2,409.79	$2,972.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,147.98 / $2,770.89 / $4,116.39	Facility		$2,147.98	$2,770.89	$4,116.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,013.00 / $2,734.00 / $4,933.82	Professional		$2,013.00	$2,734.00	$4,933.82
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,621.00 / $2,586.29 / $5,249.55	Facility		$1,621.00	$2,586.29	$5,249.55
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,621.00 / $2,586.29 / $5,249.55	Professional		$1,621.00	$2,586.29	$5,249.55
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 $1,482.08 / $2,328.37 / $4,751.87	Professional		$1,482.08	$2,328.37	$4,751.87