Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,445.90 / $5,048.00 / $9,539.00	Facility		$2,445.90	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,103.91 / $2,445.90 / $2,833.16	Professional		$2,103.91	$2,445.90	$2,833.16
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 $2,036.03 / $2,603.63 / $3,570.87	Professional		$2,036.03	$2,603.63	$3,570.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,468.67 / $2,764.91 / $4,813.91	Professional		$2,468.67	$2,764.91	$4,813.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,081.51 / $2,890.61 / $5,467.32	Professional		$2,081.51	$2,890.61	$5,467.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,039.22 / $2,447.06 / $3,020.95	Professional		$2,039.22	$2,447.06	$3,020.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,271.59 / $2,900.41 / $4,066.86	Facility		$2,271.59	$2,900.41	$4,066.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,715.00 / $3,111.00 / $5,013.38	Professional		$2,715.00	$3,111.00	$5,013.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,070.00 / $2,783.08 / $5,169.18	Facility		$2,070.00	$2,783.08	$5,169.18
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,070.00 / $2,783.08 / $5,169.18	Professional		$2,070.00	$2,783.08	$5,169.18
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 $1,783.00 / $2,870.74 / $4,741.46	Professional		$1,783.00	$2,870.74	$4,741.46