Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,230.38 / $4,390.00 / $8,920.00	Facility		$2,230.38	$4,390.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,918.25 / $2,230.38 / $3,483.27	Professional		$1,918.25	$2,230.38	$3,483.27
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 $1,855.94 / $2,373.33 / $3,255.02	Professional		$1,855.94	$2,373.33	$3,255.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,240.23 / $2,509.07 / $4,368.47	Professional		$2,240.23	$2,509.07	$4,368.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,888.68 / $2,635.90 / $4,970.92	Professional		$1,888.68	$2,635.90	$4,970.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,859.76 / $2,231.71 / $2,755.56	Professional		$1,859.76	$2,231.71	$2,755.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,071.23 / $2,632.81 / $3,769.34	Facility		$2,071.23	$2,632.81	$3,769.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,354.10 / $2,794.00 / $4,571.47	Professional		$2,354.10	$2,794.00	$4,571.47
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,910.59 / $2,500.61 / $4,699.68	Facility		$1,910.59	$2,500.61	$4,699.68
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,910.59 / $2,500.61 / $4,699.68	Professional		$1,910.59	$2,500.61	$4,699.68
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 $1,618.66 / $2,460.73 / $4,334.97	Professional		$1,618.66	$2,460.73	$4,334.97