Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,502.71 / $5,048.00 / $9,539.00	Facility		$2,502.71	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,062.64 / $2,502.71 / $3,226.00	Professional		$2,062.64	$2,502.71	$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 $2,004.44 / $2,550.60 / $3,560.09	Professional		$2,004.44	$2,550.60	$3,560.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,442.17 / $2,568.19 / $5,007.97	Professional		$2,442.17	$2,568.19	$5,007.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,633.09 / $2,502.84 / $5,061.45	Professional		$1,633.09	$2,502.84	$5,061.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,062.03 / $2,474.44 / $3,051.80	Professional		$2,062.03	$2,474.44	$3,051.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,014.13 / $2,783.60 / $4,088.53	Facility		$2,014.13	$2,783.60	$4,088.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,751.00 / $2,809.00 / $5,067.47	Professional		$1,751.00	$2,809.00	$5,067.47
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,461.47 / $2,655.70 / $5,389.94	Facility		$1,461.47	$2,655.70	$5,389.94
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,461.47 / $2,655.70 / $5,389.94	Professional		$1,461.47	$2,655.70	$5,389.94
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 $1,242.89 / $2,151.79 / $4,594.24	Professional		$1,242.89	$2,151.79	$4,594.24