Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,221.67 / $5,048.00 / $9,613.53	Facility		$3,221.67	$5,048.00	$9,613.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,798.55 / $3,221.67 / $3,690.94	Professional		$2,798.55	$3,221.67	$3,690.94
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 $2,652.52 / $3,391.98 / $4,652.10	Professional		$2,652.52	$3,391.98	$4,652.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3,210.50 / $3,595.76 / $6,260.47	Professional		$3,210.50	$3,595.76	$6,260.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,707.05 / $3,805.93 / $7,144.72	Professional		$2,707.05	$3,805.93	$7,144.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,655.97 / $3,187.16 / $3,933.26	Professional		$2,655.97	$3,187.16	$3,933.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,960.07 / $3,845.71 / $5,390.19	Facility		$2,960.07	$3,845.71	$5,390.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,588.00 / $3,937.50 / $6,527.64	Professional		$3,588.00	$3,937.50	$6,527.64
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,675.35 / $3,625.70 / $6,602.73	Facility		$2,675.35	$3,625.70	$6,602.73
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,675.35 / $3,625.70 / $6,602.73	Professional		$2,675.35	$3,625.70	$6,602.73
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 $2,342.64 / $3,604.55 / $6,196.17	Professional		$2,342.64	$3,604.55	$6,196.17