Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,141.36 / $5,048.00 / $9,539.00	Facility		$2,141.36	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,825.48 / $2,141.36 / $2,449.71	Professional		$1,825.48	$2,141.36	$2,449.71
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 $1,765.27 / $2,257.39 / $3,096.01	Professional		$1,765.27	$2,257.39	$3,096.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,128.91 / $2,384.38 / $4,151.37	Professional		$2,128.91	$2,384.38	$4,151.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,761.62 / $2,379.91 / $4,710.74	Professional		$1,761.62	$2,379.91	$4,710.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,770.66 / $2,124.79 / $2,624.75	Professional		$1,770.66	$2,124.79	$2,624.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,962.92 / $2,470.10 / $3,592.14	Facility		$1,962.92	$2,470.10	$3,592.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,080.84 / $2,596.69 / $4,351.22	Professional		$2,080.84	$2,596.69	$4,351.22
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,783.33 / $2,299.73 / $4,453.60	Facility		$1,783.33	$2,299.73	$4,453.60
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,783.33 / $2,299.73 / $4,453.60	Professional		$1,783.33	$2,299.73	$4,453.60
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 $1,533.94 / $2,205.04 / $4,085.33	Professional		$1,533.94	$2,205.04	$4,085.33