Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,472.15 / $5,048.00 / $9,539.00	Facility		$2,472.15	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,962.33 / $2,380.65 / $2,472.15	Professional		$1,962.33	$2,380.65	$2,472.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,628.60 / $19,225.23 / $26,671.93	Facility		$11,628.60	$19,225.23	$26,671.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,991.77 / $2,547.03 / $3,493.25	Professional		$1,991.77	$2,547.03	$3,493.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,414.23 / $2,719.27 / $4,734.43	Professional		$2,414.23	$2,719.27	$4,734.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,164.91 / $2,890.01 / $5,457.94	Professional		$2,164.91	$2,890.01	$5,457.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,053.52 / $2,464.21 / $3,039.21	Professional		$2,053.52	$2,464.21	$3,039.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,241.05 / $2,945.11 / $4,161.47	Facility		$2,241.05	$2,945.11	$4,161.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,753.00 / $3,105.56 / $5,028.85	Professional		$2,753.00	$3,105.56	$5,028.85
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,201.28 / $2,884.10 / $8,031.00	Facility		$2,201.28	$2,884.10	$8,031.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,201.28 / $2,884.10 / $8,031.00	Professional		$2,201.28	$2,884.10	$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 $1,811.69 / $3,010.53 / $4,839.35	Professional		$1,811.69	$3,010.53	$4,839.35