Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,394.92 / $5,048.00 / $9,539.00	Facility		$2,394.92	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,993.85 / $2,394.92 / $2,614.39	Professional		$1,993.85	$2,394.92	$2,614.39
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 $1,920.48 / $2,455.86 / $3,368.21	Professional		$1,920.48	$2,455.86	$3,368.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,412.41 / $2,707.54 / $4,714.03	Professional		$2,412.41	$2,707.54	$4,714.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,112.66 / $2,830.38 / $5,250.91	Professional		$2,112.66	$2,830.38	$5,250.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,988.76 / $2,386.51 / $2,943.36	Professional		$1,988.76	$2,386.51	$2,943.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,247.27 / $2,942.33 / $4,059.96	Facility		$2,247.27	$2,942.33	$4,059.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,661.00 / $2,946.00 / $4,881.10	Professional		$2,661.00	$2,946.00	$4,881.10
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,000.62 / $2,780.44 / $4,963.82	Facility		$2,000.62	$2,780.44	$4,963.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,000.62 / $2,780.44 / $4,963.82	Professional		$2,000.62	$2,780.44	$4,963.82
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 $1,809.34 / $2,680.99 / $4,556.25	Professional		$1,809.34	$2,680.99	$4,556.25