Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,032.19 / $5,048.00 / $9,539.00	Facility		$3,032.19	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,492.11 / $3,032.19 / $4,869.77	Professional		$2,492.11	$3,032.19	$4,869.77
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 $2,831.39 / $3,620.71 / $4,965.80	Professional		$2,831.39	$3,620.71	$4,965.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,265.24 / $3,657.07 / $6,367.22	Professional		$3,265.24	$3,657.07	$6,367.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,778.72 / $3,583.50 / $6,750.05	Professional		$2,778.72	$3,583.50	$6,750.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,831.81 / $3,398.17 / $4,201.05	Professional		$2,831.81	$3,398.17	$4,201.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,831.81 / $3,580.20 / $5,006.57	Facility		$2,831.81	$3,580.20	$5,006.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,373.00 / $3,878.00 / $6,671.00	Professional		$3,373.00	$3,878.00	$6,671.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,639.81 / $3,585.65 / $6,381.59	Facility		$2,639.81	$3,585.65	$6,381.59
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,639.81 / $3,585.65 / $6,381.59	Professional		$2,639.81	$3,585.65	$6,381.59
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 $2,198.00 / $3,382.91 / $5,797.23	Professional		$2,198.00	$3,382.91	$5,797.23