Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,392.37 / $5,048.00 / $9,539.00	Facility		$2,392.37	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,055.94 / $2,392.37 / $2,765.17	Professional		$2,055.94	$2,392.37	$2,765.17
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 $1,987.78 / $2,541.92 / $3,486.24	Professional		$1,987.78	$2,541.92	$3,486.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,410.34 / $2,699.58 / $4,700.16	Professional		$2,410.34	$2,699.58	$4,700.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,032.21 / $2,826.56 / $5,334.66	Professional		$2,032.21	$2,826.56	$5,334.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,992.03 / $2,390.44 / $2,951.51	Professional		$1,992.03	$2,390.44	$2,951.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,218.76 / $2,829.81 / $4,042.29	Facility		$2,218.76	$2,829.81	$4,042.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,616.00 / $3,028.00 / $4,895.81	Professional		$2,616.00	$3,028.00	$4,895.81
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,028.12 / $2,679.19 / $5,043.72	Facility		$2,028.12	$2,679.19	$5,043.72
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,028.12 / $2,679.19 / $5,043.72	Professional		$2,028.12	$2,679.19	$5,043.72
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 $1,737.11 / $2,693.16 / $4,626.43	Professional		$1,737.11	$2,693.16	$4,626.43