Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,168.86 / $5,048.00 / $9,539.00	Facility		$2,168.86	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,866.47 / $2,168.86 / $2,470.75	Professional		$1,866.47	$2,168.86	$2,470.75
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 $1,777.26 / $2,272.71 / $3,117.03	Professional		$1,777.26	$2,272.71	$3,117.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,151.36 / $2,409.52 / $4,195.14	Professional		$2,151.36	$2,409.52	$4,195.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,794.50 / $2,440.32 / $4,765.01	Professional		$1,794.50	$2,440.32	$4,765.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,781.15 / $2,137.38 / $2,638.98	Professional		$1,781.15	$2,137.38	$2,638.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,973.63 / $2,526.88 / $3,611.74	Facility		$1,973.63	$2,526.88	$3,611.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,197.00 / $2,604.00 / $4,376.71	Professional		$2,197.00	$2,604.00	$4,376.71
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,807.42 / $2,427.71 / $4,504.95	Facility		$1,807.42	$2,427.71	$4,504.95
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,807.42 / $2,427.71 / $4,504.95	Professional		$1,807.42	$2,427.71	$4,504.95
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 $1,553.66 / $2,300.38 / $4,220.68	Professional		$1,553.66	$2,300.38	$4,220.68