Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,739.90 / $5,048.00 / $9,539.00	Facility		$2,739.90	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,350.50 / $2,739.90 / $3,350.65	Professional		$2,350.50	$2,739.90	$3,350.65
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 $2,359.94 / $3,017.85 / $4,138.97	Professional		$2,359.94	$3,017.85	$4,138.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,845.50 / $3,186.96 / $5,548.72	Professional		$2,845.50	$3,186.96	$5,548.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,122.15 / $3,136.79 / $6,201.42	Professional		$2,122.15	$3,136.79	$6,201.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,363.00 / $2,835.60 / $3,519.78	Professional		$2,363.00	$2,835.60	$3,519.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,661.85 / $3,257.61 / $4,630.43	Facility		$2,661.85	$3,257.61	$4,630.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,737.00 / $3,236.00 / $5,866.46	Professional		$2,737.00	$3,236.00	$5,866.46
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,072.78 / $3,101.72 / $5,863.32	Facility		$2,072.78	$3,101.72	$5,863.32
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,072.78 / $3,101.72 / $5,863.32	Professional		$2,072.78	$3,101.72	$5,863.32
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 $1,996.75 / $2,776.60 / $5,378.09	Professional		$1,996.75	$2,776.60	$5,378.09