Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,025.53 / $4,931.64 / $9,539.00	Facility		$2,025.53	$4,931.64	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,695.06 / $2,025.53 / $2,335.58	Professional		$1,695.06	$2,025.53	$2,335.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,681.69 / $2,150.50 / $2,949.41	Professional		$1,681.69	$2,150.50	$2,949.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,946.64 / $2,618.80 / $4,284.00	Professional		$1,946.64	$2,618.80	$4,284.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,688.42 / $2,321.06 / $4,495.38	Professional		$1,688.42	$2,321.06	$4,495.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,686.87 / $2,024.24 / $2,500.66	Professional		$1,686.87	$2,024.24	$2,500.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,877.86 / $2,366.44 / $3,420.56	Facility		$1,877.86	$2,366.44	$3,420.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,062.00 / $2,437.00 / $3,991.00	Professional		$2,062.00	$2,437.00	$3,991.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,698.81 / $2,377.44 / $7,753.38	Facility		$1,698.81	$2,377.44	$7,753.38
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,698.81 / $2,377.44 / $7,753.38	Professional		$1,698.81	$2,377.44	$7,753.38
United Facility/Professional Facility Modifier Low / Median / High Price $6,693.00 / $11,671.00 / $21,639.00	Facility		$6,693.00	$11,671.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,463.82 / $2,278.53 / $4,102.93	Professional		$1,463.82	$2,278.53	$4,102.93