Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,515.83 / $5,048.00 / $9,539.00	Facility		$2,515.83	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,206.71 / $2,515.83 / $2,916.79	Professional		$2,206.71	$2,515.83	$2,916.79
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 $2,095.04 / $2,679.08 / $3,674.35	Professional		$2,095.04	$2,679.08	$3,674.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,542.13 / $2,847.19 / $4,957.14	Professional		$2,542.13	$2,847.19	$4,957.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,142.44 / $2,973.26 / $5,631.08	Professional		$2,142.44	$2,973.26	$5,631.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,098.21 / $2,517.85 / $3,108.01	Professional		$2,098.21	$2,517.85	$3,108.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,337.46 / $2,986.14 / $4,187.57	Facility		$2,337.46	$2,986.14	$4,187.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,787.49 / $3,214.00 / $5,158.27	Professional		$2,787.49	$3,214.00	$5,158.27
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,114.05 / $2,865.11 / $5,324.08	Facility		$2,114.05	$2,865.11	$5,324.08
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,114.05 / $2,865.11 / $5,324.08	Professional		$2,114.05	$2,865.11	$5,324.08
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 $1,844.43 / $2,895.44 / $4,883.49	Professional		$1,844.43	$2,895.44	$4,883.49