Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,696.71 / $5,048.00 / $9,539.00	Facility		$2,696.71	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,319.86 / $2,696.71 / $3,069.63	Professional		$2,319.86	$2,696.71	$3,069.63
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 $2,205.98 / $2,820.95 / $3,868.93	Professional		$2,205.98	$2,820.95	$3,868.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,666.75 / $2,986.76 / $5,200.16	Professional		$2,666.75	$2,986.76	$5,200.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,248.71 / $3,167.06 / $5,924.95	Professional		$2,248.71	$3,167.06	$5,924.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,210.14 / $2,652.17 / $3,273.68	Professional		$2,210.14	$2,652.17	$3,273.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,462.40 / $3,158.52 / $4,485.38	Facility		$2,462.40	$3,158.52	$4,485.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,938.00 / $3,361.92 / $5,430.98	Professional		$2,938.00	$3,361.92	$5,430.98
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,226.03 / $2,974.09 / $5,502.98	Facility		$2,226.03	$2,974.09	$5,502.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,226.03 / $2,974.09 / $5,502.98	Professional		$2,226.03	$2,974.09	$5,502.98
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 $1,941.14 / $2,989.62 / $5,138.33	Professional		$1,941.14	$2,989.62	$5,138.33