Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,045.68 / $4,886.37 / $9,539.00	Facility		$2,045.68	$4,886.37	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,701.09 / $2,045.68 / $2,232.33	Professional		$1,701.09	$2,045.68	$2,232.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,604.05 / $10,127.70 / $14,105.84	Facility		$6,604.05	$10,127.70	$14,105.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,641.12 / $2,098.62 / $2,878.25	Professional		$1,641.12	$2,098.62	$2,878.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,061.98 / $2,312.83 / $4,026.81	Professional		$2,061.98	$2,312.83	$4,026.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,805.42 / $2,417.62 / $4,483.43	Professional		$1,805.42	$2,417.62	$4,483.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,699.54 / $2,039.45 / $2,515.32	Professional		$1,699.54	$2,039.45	$2,515.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,921.03 / $2,511.48 / $3,470.25	Facility		$1,921.03	$2,511.48	$3,470.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,287.00 / $2,517.00 / $4,171.06	Professional		$2,287.00	$2,517.00	$4,171.06
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,736.00 / $2,375.08 / $4,321.01	Facility		$1,736.00	$2,375.08	$4,321.01
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,736.00 / $2,375.08 / $4,321.01	Professional		$1,736.00	$2,375.08	$4,321.01
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 $1,568.84 / $2,471.90 / $3,925.17	Professional		$1,568.84	$2,471.90	$3,925.17