Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,831.54 / $5,048.00 / $9,539.00	Facility		$2,831.54	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,417.76 / $2,831.54 / $3,321.55	Professional		$2,417.76	$2,831.54	$3,321.55
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 $2,386.07 / $3,051.25 / $4,184.78	Professional		$2,386.07	$3,051.25	$4,184.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,899.50 / $3,247.44 / $5,654.02	Professional		$2,899.50	$3,247.44	$5,654.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,443.25 / $3,346.37 / $6,418.89	Professional		$2,443.25	$3,346.37	$6,418.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,390.26 / $2,868.31 / $3,540.66	Professional		$2,390.26	$2,868.31	$3,540.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,662.95 / $3,396.51 / $4,777.41	Facility		$2,662.95	$3,396.51	$4,777.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,963.00 / $3,604.00 / $5,874.70	Professional		$2,963.00	$3,604.00	$5,874.70
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,407.71 / $3,262.20 / $5,975.76	Facility		$2,407.71	$3,262.20	$5,975.76
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,407.71 / $3,262.20 / $5,975.76	Professional		$2,407.71	$3,262.20	$5,975.76
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 $2,090.16 / $3,176.64 / $5,566.70	Professional		$2,090.16	$3,176.64	$5,566.70