Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,215.18 / $5,048.00 / $9,539.00	Facility		$3,215.18	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,682.05 / $3,215.18 / $3,771.22	Professional		$2,682.05	$3,215.18	$3,771.22
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 $2,660.52 / $3,402.20 / $4,666.10	Professional		$2,660.52	$3,402.20	$4,666.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,246.36 / $3,635.92 / $6,330.40	Professional		$3,246.36	$3,635.92	$6,330.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,608.42 / $3,602.92 / $7,166.87	Professional		$2,608.42	$3,602.92	$7,166.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,661.79 / $3,194.15 / $3,953.06	Professional		$2,661.79	$3,194.15	$3,953.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,992.92 / $3,775.04 / $5,433.65	Facility		$2,992.92	$3,775.04	$5,433.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,208.00 / $3,831.00 / $6,579.50	Professional		$3,208.00	$3,831.00	$6,579.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,542.92 / $3,583.74 / $6,678.92	Facility		$2,542.92	$3,583.74	$6,678.92
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,542.92 / $3,583.74 / $6,678.92	Professional		$2,542.92	$3,583.74	$6,678.92
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 $2,333.71 / $3,441.89 / $6,215.37	Professional		$2,333.71	$3,441.89	$6,215.37