Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,240.07 / $5,048.00 / $9,539.00	Facility		$2,240.07	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,926.20 / $2,240.07 / $2,557.58	Professional		$1,926.20	$2,240.07	$2,557.58
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 $1,838.42 / $2,350.92 / $3,224.30	Professional		$1,838.42	$2,350.92	$3,224.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,108.64 / $2,361.67 / $4,111.85	Professional		$2,108.64	$2,361.67	$4,111.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,757.83 / $2,482.05 / $4,928.89	Professional		$1,757.83	$2,482.05	$4,928.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,841.54 / $2,209.85 / $2,728.14	Professional		$1,841.54	$2,209.85	$2,728.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,043.45 / $2,574.42 / $3,739.51	Facility		$2,043.45	$2,574.42	$3,739.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,095.00 / $2,713.00 / $4,024.00	Professional		$2,095.00	$2,713.00	$4,024.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,837.02 / $2,346.57 / $4,659.97	Facility		$1,837.02	$2,346.57	$4,659.97
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,837.02 / $2,346.57 / $4,659.97	Professional		$1,837.02	$2,346.57	$4,659.97
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 $1,604.98 / $2,362.09 / $4,233.14	Professional		$1,604.98	$2,362.09	$4,233.14