Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,096.59 / $5,412.00 / $11,425.00	Facility		$2,096.59	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,755.25 / $2,096.59 / $2,295.51	Professional		$1,755.25	$2,096.59	$2,295.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,725.94 / $2,207.09 / $3,027.02	Professional		$1,725.94	$2,207.09	$3,027.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,009.33 / $2,893.44 / $7,369.00	Professional		$2,009.33	$2,893.44	$7,369.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,812.53 / $2,477.78 / $4,593.89	Professional		$1,812.53	$2,477.78	$4,593.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,768.32 / $2,121.98 / $2,617.11	Professional		$1,768.32	$2,121.98	$2,617.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,034.63 / $2,513.96 / $3,626.62	Facility		$2,034.63	$2,513.96	$3,626.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,339.00 / $2,619.00 / $4,380.85	Professional		$2,339.00	$2,619.00	$4,380.85
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,872.55 / $2,473.83 / $7,910.52	Facility		$1,872.55	$2,473.83	$7,910.52
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,872.55 / $2,473.83 / $7,910.52	Professional		$1,872.55	$2,473.83	$7,910.52
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 $1,471.05 / $2,473.57 / $4,061.19	Professional		$1,471.05	$2,473.57	$4,061.19