Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,390.81 / $5,048.00 / $9,539.00	Facility		$2,390.81	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,998.03 / $2,390.81 / $2,739.64	Professional		$1,998.03	$2,390.81	$2,739.64
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 $1,971.18 / $2,520.69 / $3,457.14	Professional		$1,971.18	$2,520.69	$3,457.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,380.96 / $2,666.69 / $4,642.89	Professional		$2,380.96	$2,666.69	$4,642.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,007.06 / $2,780.88 / $5,281.61	Professional		$2,007.06	$2,780.88	$5,281.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,975.32 / $2,370.38 / $2,926.71	Professional		$1,975.32	$2,370.38	$2,926.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,200.00 / $2,798.41 / $4,008.51	Facility		$2,200.00	$2,798.41	$4,008.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,549.66 / $2,949.00 / $4,855.13	Professional		$2,549.66	$2,949.00	$4,855.13
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,998.61 / $2,670.69 / $4,993.55	Facility		$1,998.61	$2,670.69	$4,993.55
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,998.61 / $2,670.69 / $4,993.55	Professional		$1,998.61	$2,670.69	$4,993.55
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 $1,719.83 / $2,672.71 / $4,536.06	Professional		$1,719.83	$2,672.71	$4,536.06