Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.73 / $5,048.00 / $9,539.00	Facility		$2,454.73	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,078.54 / $2,454.73 / $2,790.53	Professional		$2,078.54	$2,454.73	$2,790.53
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 $2,005.91 / $2,565.11 / $3,518.04	Professional		$2,005.91	$2,565.11	$3,518.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,248.78 / $2,518.63 / $4,385.12	Professional		$2,248.78	$2,518.63	$4,385.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,888.41 / $2,687.51 / $5,390.20	Professional		$1,888.41	$2,687.51	$5,390.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,009.44 / $2,411.33 / $2,976.45	Professional		$2,009.44	$2,411.33	$2,976.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,227.40 / $2,806.93 / $4,076.14	Facility		$2,227.40	$2,806.93	$4,076.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,265.00 / $2,920.00 / $4,937.42	Professional		$2,265.00	$2,920.00	$4,937.42
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,943.80 / $2,633.01 / $5,095.35	Facility		$1,943.80	$2,633.01	$5,095.35
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,943.80 / $2,633.01 / $5,095.35	Professional		$1,943.80	$2,633.01	$5,095.35
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 $1,755.19 / $2,631.43 / $4,771.83	Professional		$1,755.19	$2,631.43	$4,771.83