Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,069.53 / $4,941.93 / $9,539.00	Facility		$2,069.53	$4,941.93	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,722.56 / $2,069.53 / $2,253.73	Professional		$1,722.56	$2,069.53	$2,253.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,671.00 / $14,927.78 / $20,791.37	Facility		$8,671.00	$14,927.78	$20,791.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,654.03 / $2,115.13 / $2,900.90	Professional		$1,654.03	$2,115.13	$2,900.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,077.51 / $2,336.81 / $4,068.56	Professional		$2,077.51	$2,336.81	$4,068.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,818.88 / $2,445.81 / $4,535.49	Professional		$1,818.88	$2,445.81	$4,535.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,712.21 / $2,054.65 / $2,534.07	Professional		$1,712.21	$2,054.65	$2,534.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,934.63 / $2,539.88 / $3,505.88	Facility		$1,934.63	$2,539.88	$3,505.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,292.00 / $2,541.00 / $4,203.74	Professional		$2,292.00	$2,541.00	$4,203.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,736.00 / $2,397.69 / $4,371.18	Facility		$1,736.00	$2,397.69	$4,371.18
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,736.00 / $2,397.69 / $4,371.18	Professional		$1,736.00	$2,397.69	$4,371.18
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 $1,558.56 / $2,409.10 / $3,776.91	Professional		$1,558.56	$2,409.10	$3,776.91