Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,430.35 / $5,048.00 / $9,539.00	Facility		$2,430.35	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,108.94 / $2,430.35 / $2,796.62	Professional		$2,108.94	$2,430.35	$2,796.62
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 $2,011.75 / $2,572.58 / $3,528.29	Professional		$2,011.75	$2,572.58	$3,528.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,429.96 / $2,721.56 / $4,738.42	Professional		$2,429.96	$2,721.56	$4,738.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,048.96 / $2,872.23 / $5,391.81	Professional		$2,048.96	$2,872.23	$5,391.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,016.72 / $2,420.06 / $2,988.14	Professional		$2,016.72	$2,420.06	$2,988.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,246.39 / $2,857.20 / $4,092.48	Facility		$2,246.39	$2,857.20	$4,092.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,627.00 / $3,060.56 / $4,954.60	Professional		$2,627.00	$3,060.56	$4,954.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,046.20 / $2,726.80 / $5,095.35	Facility		$2,046.20	$2,726.80	$5,095.35
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,046.20 / $2,726.80 / $5,095.35	Professional		$2,046.20	$2,726.80	$5,095.35
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 $1,755.72 / $2,590.59 / $4,675.99	Professional		$1,755.72	$2,590.59	$4,675.99