Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,312.74 / $5,120.17 / $9,690.00	Facility		$3,312.74	$5,120.17	$9,690.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,440.80 / $3,312.74 / $3,622.98	Professional		$2,440.80	$3,312.74	$3,622.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,671.00 / $14,495.61 / $20,189.45	Facility		$8,671.00	$14,495.61	$20,189.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,699.86 / $3,452.51 / $4,735.10	Professional		$2,699.86	$3,452.51	$4,735.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,417.39 / $3,827.48 / $6,663.91	Professional		$3,417.39	$3,827.48	$6,663.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,708.48 / $3,690.18 / $7,203.44	Professional		$2,708.48	$3,690.18	$7,203.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,779.59 / $3,335.51 / $4,113.79	Professional		$2,779.59	$3,335.51	$4,113.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,758.10 / $3,743.40 / $5,411.81	Facility		$2,758.10	$3,743.40	$5,411.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,336.00 / $4,088.00 / $6,823.13	Professional		$3,336.00	$4,088.00	$6,823.13
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,488.12 / $3,640.71 / $6,862.69	Facility		$2,488.12	$3,640.71	$6,862.69
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,488.12 / $3,640.71 / $6,862.69	Professional		$2,488.12	$3,640.71	$6,862.69
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 $2,391.09 / $3,606.72 / $6,329.49	Professional		$2,391.09	$3,606.72	$6,329.49