Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,626.65 / $5,048.00 / $9,539.00	Facility		$2,626.65	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,945.20 / $2,626.65 / $3,281.93	Professional		$1,945.20	$2,626.65	$3,281.93
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 $2,104.90 / $2,676.10 / $3,735.26	Professional		$2,104.90	$2,676.10	$3,735.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,561.73 / $2,693.70 / $5,252.71	Professional		$2,561.73	$2,693.70	$5,252.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,884.99 / $2,626.48 / $5,314.02	Professional		$1,884.99	$2,626.48	$5,314.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,163.42 / $2,596.10 / $3,201.86	Professional		$2,163.42	$2,596.10	$3,201.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,280.28 / $2,974.79 / $4,439.04	Facility		$2,280.28	$2,974.79	$4,439.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,139.00 / $2,753.00 / $5,316.34	Professional		$2,139.00	$2,753.00	$5,316.34
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,671.50 / $2,781.79 / $5,581.98	Facility		$1,671.50	$2,781.79	$5,581.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,671.50 / $2,781.79 / $5,581.98	Professional		$1,671.50	$2,781.79	$5,581.98
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 $1,519.29 / $2,464.83 / $5,114.41	Professional		$1,519.29	$2,464.83	$5,114.41