Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,812.48 / $5,048.00 / $9,539.00	Facility		$2,812.48	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,370.03 / $2,812.48 / $3,095.75	Professional		$2,370.03	$2,812.48	$3,095.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,685.00 / $17,371.00 / $24,194.30	Facility		$8,685.00	$17,371.00	$24,194.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,335.98 / $2,987.19 / $4,096.93	Professional		$2,335.98	$2,987.19	$4,096.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,850.15 / $3,377.51 / $5,880.48	Professional		$2,850.15	$3,377.51	$5,880.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,460.88 / $3,323.84 / $6,161.40	Professional		$2,460.88	$3,323.84	$6,161.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,400.86 / $2,881.03 / $3,553.27	Professional		$2,400.86	$2,881.03	$3,553.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,766.90 / $3,323.84 / $5,001.83	Facility		$2,766.90	$3,323.84	$5,001.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,134.00 / $3,546.00 / $5,931.14	Professional		$3,134.00	$3,546.00	$5,931.14
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,349.82 / $3,228.49 / $5,937.73	Facility		$2,349.82	$3,228.49	$5,937.73
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,349.82 / $3,228.49 / $5,937.73	Professional		$2,349.82	$3,228.49	$5,937.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $3,295.00 / $5,790.00	Facility		$1,713.00	$3,295.00	$5,790.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,045.19 / $3,340.27 / $5,446.93	Professional		$2,045.19	$3,340.27	$5,446.93