Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,138.63 / $5,048.00 / $9,539.00	Facility		$2,138.63	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,770.34 / $2,138.63 / $2,319.71	Professional		$1,770.34	$2,138.63	$2,319.71
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 $1,738.54 / $2,223.19 / $3,049.11	Professional		$1,738.54	$2,223.19	$3,049.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,003.54 / $2,938.97 / $5,895.00	Professional		$2,003.54	$2,938.97	$5,895.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,845.69 / $2,508.46 / $4,664.20	Professional		$1,845.69	$2,508.46	$4,664.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,783.03 / $2,139.64 / $2,638.88	Professional		$1,783.03	$2,139.64	$2,638.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,041.42 / $2,572.13 / $3,689.97	Facility		$2,041.42	$2,572.13	$3,689.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,396.00 / $2,676.00 / $4,410.89	Professional		$2,396.00	$2,676.00	$4,410.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,915.50 / $2,524.29 / $8,031.00	Facility		$1,915.50	$2,524.29	$8,031.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,915.50 / $2,524.29 / $8,031.00	Professional		$1,915.50	$2,524.29	$8,031.00
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 $1,548.22 / $2,521.38 / $4,118.18	Professional		$1,548.22	$2,521.38	$4,118.18