Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,358.80 / $5,048.00 / $9,539.00	Facility		$2,358.80	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,031.72 / $2,358.80 / $2,711.52	Professional		$2,031.72	$2,358.80	$2,711.52
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 $1,950.90 / $2,494.76 / $3,421.56	Professional		$1,950.90	$2,494.76	$3,421.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,355.40 / $2,638.05 / $4,593.03	Professional		$2,355.40	$2,638.05	$4,593.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,986.43 / $2,787.67 / $5,224.51	Professional		$1,986.43	$2,787.67	$5,224.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,955.14 / $2,346.17 / $2,896.95	Professional		$1,955.14	$2,346.17	$2,896.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,177.48 / $2,790.60 / $3,967.90	Facility		$2,177.48	$2,790.60	$3,967.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,549.00 / $2,965.90 / $4,805.30	Professional		$2,549.00	$2,965.90	$4,805.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,987.23 / $2,666.30 / $4,939.54	Facility		$1,987.23	$2,666.30	$4,939.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,987.23 / $2,666.30 / $4,939.54	Professional		$1,987.23	$2,666.30	$4,939.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $3,295.00 / $5,790.00	Facility		$1,713.00	$3,295.00	$5,790.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,705.68 / $2,687.29 / $4,267.99	Professional		$1,705.68	$2,687.29	$4,267.99