Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,273.36 / $5,048.00 / $9,539.00	Facility		$2,273.36	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,969.22 / $2,273.36 / $3,714.50	Professional		$1,969.22	$2,273.36	$3,714.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,738.20 / $20,977.18 / $29,216.95	Facility		$12,738.20	$20,977.18	$29,216.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,877.45 / $2,400.84 / $3,292.75	Professional		$1,877.45	$2,400.84	$3,292.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,275.54 / $2,548.60 / $4,437.30	Professional		$2,275.54	$2,548.60	$4,437.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,918.83 / $2,686.70 / $5,032.18	Professional		$1,918.83	$2,686.70	$5,032.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,882.44 / $2,258.92 / $2,789.56	Professional		$1,882.44	$2,258.92	$2,789.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,096.27 / $2,669.95 / $3,818.84	Facility		$2,096.27	$2,669.95	$3,818.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,434.00 / $2,857.00 / $4,625.33	Professional		$2,434.00	$2,857.00	$4,625.33
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,921.79 / $2,566.59 / $4,757.64	Facility		$1,921.79	$2,566.59	$4,757.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,921.79 / $2,566.59 / $4,757.64	Professional		$1,921.79	$2,566.59	$4,757.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,130.00 / $5,226.00	Facility		$1,547.00	$3,130.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,638.62 / $2,541.02 / $4,388.42	Professional		$1,638.62	$2,541.02	$4,388.42