Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,981.28 / $5,048.00 / $9,539.00	Facility		$2,981.28	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,527.55 / $2,981.28 / $4,263.47	Professional		$2,527.55	$2,981.28	$4,263.47
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 $2,503.78 / $3,201.77 / $4,391.22	Professional		$2,503.78	$3,201.77	$4,391.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,052.22 / $3,486.12 / $6,069.59	Professional		$3,052.22	$3,486.12	$6,069.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,504.37 / $3,523.33 / $6,721.05	Professional		$2,504.37	$3,523.33	$6,721.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,557.80 / $3,069.36 / $3,785.54	Professional		$2,557.80	$3,069.36	$3,785.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,808.10 / $3,647.35 / $5,137.70	Facility		$2,808.10	$3,647.35	$5,137.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,231.00 / $3,727.00 / $6,356.30	Professional		$3,231.00	$3,727.00	$6,356.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,357.92 / $3,484.86 / $6,368.38	Facility		$2,357.92	$3,484.86	$6,368.38
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,357.92 / $3,484.86 / $6,368.38	Professional		$2,357.92	$3,484.86	$6,368.38
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 $2,209.73 / $3,332.38 / $5,828.74	Professional		$2,209.73	$3,332.38	$5,828.74