Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,148.73 / $5,048.00 / $9,539.00	Facility		$2,148.73	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,796.55 / $2,148.73 / $2,349.29	Professional		$1,796.55	$2,148.73	$2,349.29
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 $1,727.78 / $2,209.44 / $3,030.26	Professional		$1,727.78	$2,209.44	$3,030.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,171.76 / $2,433.42 / $4,236.76	Professional		$2,171.76	$2,433.42	$4,236.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,900.52 / $2,539.41 / $4,716.89	Professional		$1,900.52	$2,539.41	$4,716.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,789.06 / $2,146.87 / $2,647.81	Professional		$1,789.06	$2,146.87	$2,647.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,023.00 / $2,642.38 / $3,652.94	Facility		$2,023.00	$2,642.38	$3,652.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,417.00 / $2,658.00 / $4,391.38	Professional		$2,417.00	$2,658.00	$4,391.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,799.86 / $2,497.21 / $4,464.27	Facility		$1,799.86	$2,497.21	$4,464.27
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,799.86 / $2,497.21 / $4,464.27	Professional		$1,799.86	$2,497.21	$4,464.27
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 $1,625.69 / $2,401.91 / $4,129.57	Professional		$1,625.69	$2,401.91	$4,129.57