Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.58 / $5,048.00 / $9,539.00	Facility		$2,747.58	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,178.85 / $2,747.58 / $3,273.76	Professional		$2,178.85	$2,747.58	$3,273.76
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 $2,250.23 / $2,877.55 / $3,946.55	Professional		$2,250.23	$2,877.55	$3,946.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,720.78 / $3,047.27 / $5,305.52	Professional		$2,720.78	$3,047.27	$5,305.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,272.11 / $3,133.24 / $6,037.34	Professional		$2,272.11	$3,133.24	$6,037.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,255.32 / $2,706.38 / $3,341.34	Professional		$2,255.32	$2,706.38	$3,341.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,500.19 / $3,232.33 / $4,575.37	Facility		$2,500.19	$3,232.33	$4,575.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,797.00 / $3,378.00 / $5,541.19	Professional		$2,797.00	$3,378.00	$5,541.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,271.17 / $3,033.00 / $5,585.66	Facility		$2,271.17	$3,033.00	$5,585.66
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,271.17 / $3,033.00 / $5,585.66	Professional		$2,271.17	$3,033.00	$5,585.66
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 $1,965.92 / $3,104.71 / $5,344.85	Professional		$1,965.92	$3,104.71	$5,344.85