Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,915.33 / $5,048.00 / $9,539.00	Facility		$2,915.33	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,490.52 / $2,915.33 / $3,507.08	Professional		$2,490.52	$2,915.33	$3,507.08
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 $2,406.98 / $3,077.98 / $4,221.43	Professional		$2,406.98	$3,077.98	$4,221.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,911.48 / $3,260.86 / $5,677.39	Professional		$2,911.48	$3,260.86	$5,677.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.77 / $3,444.61 / $6,475.35	Professional		$2,454.77	$3,444.61	$6,475.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,410.27 / $2,892.32 / $3,569.68	Professional		$2,410.27	$2,892.32	$3,569.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,686.19 / $3,483.68 / $4,891.54	Facility		$2,686.19	$3,483.68	$4,891.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,217.00 / $3,689.00 / $5,923.70	Professional		$3,217.00	$3,689.00	$5,923.70
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,428.08 / $3,274.06 / $5,986.35	Facility		$2,428.08	$3,274.06	$5,986.35
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,428.08 / $3,274.06 / $5,986.35	Professional		$2,428.08	$3,274.06	$5,986.35
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 $2,141.81 / $3,204.91 / $5,289.81	Professional		$2,141.81	$3,204.91	$5,289.81