Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,294.61 / $5,048.00 / $9,539.00	Facility		$2,294.61	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,794.93 / $2,211.25 / $2,294.61	Professional		$1,794.93	$2,211.25	$2,294.61
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 $1,851.02 / $2,367.04 / $3,246.39	Professional		$1,851.02	$2,367.04	$3,246.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,244.52 / $2,524.10 / $4,394.64	Professional		$2,244.52	$2,524.10	$4,394.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,009.67 / $2,685.68 / $5,068.72	Professional		$2,009.67	$2,685.68	$5,068.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,908.44 / $2,290.13 / $2,824.49	Professional		$1,908.44	$2,290.13	$2,824.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,082.65 / $2,711.81 / $3,875.71	Facility		$2,082.65	$2,711.81	$3,875.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,536.00 / $2,882.06 / $4,673.88	Professional		$2,536.00	$2,882.06	$4,673.88
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,049.46 / $2,628.95 / $8,031.00	Facility		$2,049.46	$2,628.95	$8,031.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,049.46 / $2,628.95 / $8,031.00	Professional		$2,049.46	$2,628.95	$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 $1,596.05 / $2,689.53 / $4,480.97	Professional		$1,596.05	$2,689.53	$4,480.97