Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,396.59 / $5,048.00 / $9,539.00	Facility		$2,396.59	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,999.92 / $2,396.59 / $2,957.49	Professional		$1,999.92	$2,396.59	$2,957.49
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 $2,033.57 / $2,600.48 / $3,566.55	Professional		$2,033.57	$2,600.48	$3,566.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,455.53 / $2,750.19 / $4,788.28	Professional		$2,455.53	$2,750.19	$4,788.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,053.73 / $2,832.33 / $5,451.56	Professional		$2,053.73	$2,832.33	$5,451.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,038.35 / $2,446.02 / $3,020.19	Professional		$2,038.35	$2,446.02	$3,020.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,270.60 / $2,921.22 / $4,051.00	Facility		$2,270.60	$2,921.22	$4,051.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,634.00 / $3,039.00 / $5,008.01	Professional		$2,634.00	$3,039.00	$5,008.01
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,063.44 / $2,740.88 / $5,095.35	Facility		$2,063.44	$2,740.88	$5,095.35
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,063.44 / $2,740.88 / $5,095.35	Professional		$2,063.44	$2,740.88	$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 $1,775.18 / $2,821.61 / $4,826.26	Professional		$1,775.18	$2,821.61	$4,826.26