Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,442.04 / $5,048.00 / $9,539.00	Facility		$2,442.04	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,072.26 / $2,273.48 / $2,846.04	Professional		$2,072.26	$2,273.48	$2,846.04
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 $2,046.79 / $2,617.38 / $3,589.73	Professional		$2,046.79	$2,617.38	$3,589.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,472.10 / $2,768.75 / $4,820.59	Professional		$2,472.10	$2,768.75	$4,820.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,084.92 / $2,886.05 / $5,488.03	Professional		$2,084.92	$2,886.05	$5,488.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,051.01 / $2,461.21 / $3,038.63	Professional		$2,051.01	$2,461.21	$3,038.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,284.62 / $2,925.80 / $4,127.05	Facility		$2,284.62	$2,925.80	$4,127.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,699.00 / $3,116.00 / $5,040.50	Professional		$2,699.00	$3,116.00	$5,040.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,070.00 / $2,758.02 / $5,127.87	Facility		$2,070.00	$2,758.02	$5,127.87
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,070.00 / $2,758.02 / $5,127.87	Professional		$2,070.00	$2,758.02	$5,127.87
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 $1,806.54 / $2,881.61 / $4,860.80	Professional		$1,806.54	$2,881.61	$4,860.80