Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,405.73 / $5,048.00 / $9,539.00	Facility		$2,405.73	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,984.74 / $2,405.73 / $3,226.00	Professional		$1,984.74	$2,405.73	$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 $1,928.43 / $2,451.73 / $3,422.11	Professional		$1,928.43	$2,451.73	$3,422.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,347.64 / $2,470.71 / $4,817.88	Professional		$2,347.64	$2,470.71	$4,817.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,715.18 / $2,407.69 / $4,865.93	Professional		$1,715.18	$2,407.69	$4,865.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,982.41 / $2,378.89 / $2,933.97	Professional		$1,982.41	$2,378.89	$2,933.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,125.23 / $2,737.01 / $4,065.68	Facility		$2,125.23	$2,737.01	$4,065.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,986.00 / $2,703.00 / $4,871.04	Professional		$1,986.00	$2,703.00	$4,871.04
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,598.45 / $2,551.61 / $5,178.96	Facility		$1,598.45	$2,551.61	$5,178.96
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,598.45 / $2,551.61 / $5,178.96	Professional		$1,598.45	$2,551.61	$5,178.96
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 $1,444.44 / $2,288.71 / $4,416.76	Professional		$1,444.44	$2,288.71	$4,416.76