Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,467.75 / $5,048.00 / $9,539.00	Facility		$2,467.75	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,117.53 / $2,467.75 / $2,835.98	Professional		$2,117.53	$2,467.75	$2,835.98
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 $2,041.56 / $2,610.69 / $3,580.57	Professional		$2,041.56	$2,610.69	$3,580.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,473.25 / $2,770.04 / $4,822.84	Professional		$2,473.25	$2,770.04	$4,822.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,085.92 / $2,916.44 / $5,473.48	Professional		$2,085.92	$2,916.44	$5,473.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,046.88 / $2,456.26 / $3,033.03	Professional		$2,046.88	$2,456.26	$3,033.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,279.90 / $2,907.73 / $4,146.72	Facility		$2,279.90	$2,907.73	$4,146.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,690.00 / $3,113.61 / $5,028.14	Professional		$2,690.00	$3,113.61	$5,028.14
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,070.00 / $2,787.13 / $5,107.33	Facility		$2,070.00	$2,787.13	$5,107.33
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,070.00 / $2,787.13 / $5,107.33	Professional		$2,070.00	$2,787.13	$5,107.33
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 $1,782.31 / $2,652.65 / $4,849.25	Professional		$1,782.31	$2,652.65	$4,849.25