Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,910.92 / $5,048.00 / $9,539.00	Facility		$2,910.92	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,412.92 / $2,910.92 / $3,307.44	Professional		$2,412.92	$2,910.92	$3,307.44
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 $2,377.46 / $3,040.25 / $4,169.70	Professional		$2,377.46	$3,040.25	$4,169.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,421.38 / $2,711.95 / $4,721.68	Professional		$2,421.38	$2,711.95	$4,721.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,273.81 / $3,090.25 / $6,391.34	Professional		$2,273.81	$3,090.25	$6,391.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,380.33 / $2,856.40 / $3,525.49	Professional		$2,380.33	$2,856.40	$3,525.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,639.09 / $3,252.59 / $4,829.53	Facility		$2,639.09	$3,252.59	$4,829.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,695.35 / $3,216.00 / $5,221.00	Professional		$2,695.35	$3,216.00	$5,221.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,207.65 / $2,958.89 / $5,888.37	Facility		$2,207.65	$2,958.89	$5,888.37
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,207.65 / $2,958.89 / $5,888.37	Professional		$2,207.65	$2,958.89	$5,888.37
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 $2,014.76 / $2,968.99 / $5,542.81	Professional		$2,014.76	$2,968.99	$5,542.81