Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,858.60 / $5,048.00 / $9,539.00	Facility		$2,858.60	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,561.16 / $2,858.60 / $3,380.84	Professional		$2,561.16	$2,858.60	$3,380.84
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 $2,429.10 / $3,106.27 / $4,260.24	Professional		$2,429.10	$3,106.27	$4,260.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,938.59 / $3,291.22 / $5,730.25	Professional		$2,938.59	$3,291.22	$5,730.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,477.48 / $3,378.34 / $6,535.19	Professional		$2,477.48	$3,378.34	$6,535.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,432.54 / $2,919.05 / $3,602.63	Professional		$2,432.54	$2,919.05	$3,602.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,711.09 / $3,482.74 / $4,861.60	Facility		$2,711.09	$3,482.74	$4,861.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,240.04 / $3,705.61 / $5,977.92	Professional		$3,240.04	$3,705.61	$5,977.92
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,450.28 / $3,323.47 / $6,042.27	Facility		$2,450.28	$3,323.47	$6,042.27
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,450.28 / $3,323.47 / $6,042.27	Professional		$2,450.28	$3,323.47	$6,042.27
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 $2,118.53 / $3,213.55 / $5,667.56	Professional		$2,118.53	$3,213.55	$5,667.56