Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,613.61 / $5,048.00 / $9,539.00	Facility		$2,613.61	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,251.46 / $2,613.61 / $3,000.91	Professional		$2,251.46	$2,613.61	$3,000.91
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 $2,158.04 / $2,759.65 / $3,784.85	Professional		$2,158.04	$2,759.65	$3,784.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,871.22 / $3,215.77 / $5,598.88	Professional		$2,871.22	$3,215.77	$5,598.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,198.13 / $3,088.81 / $5,789.78	Professional		$2,198.13	$3,088.81	$5,789.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,161.80 / $2,594.16 / $3,202.44	Professional		$2,161.80	$2,594.16	$3,202.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,408.46 / $3,094.71 / $4,387.88	Facility		$2,408.46	$3,094.71	$4,387.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,857.00 / $3,286.20 / $5,313.17	Professional		$2,857.00	$3,286.20	$5,313.17
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,177.80 / $2,928.51 / $5,403.76	Facility		$2,177.80	$2,928.51	$5,403.76
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,177.80 / $2,928.51 / $5,403.76	Professional		$2,177.80	$2,928.51	$5,403.76
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 $1,885.30 / $2,921.58 / $4,972.49	Professional		$1,885.30	$2,921.58	$4,972.49