Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,144.69 / $5,048.00 / $9,539.00	Facility		$2,144.69	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,836.91 / $2,144.69 / $2,459.76	Professional		$1,836.91	$2,144.69	$2,459.76
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 $1,770.81 / $2,264.46 / $3,105.72	Professional		$1,770.81	$2,264.46	$3,105.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,140.44 / $2,397.29 / $4,173.85	Professional		$2,140.44	$2,397.29	$4,173.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,801.05 / $2,534.63 / $4,735.53	Professional		$1,801.05	$2,534.63	$4,735.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,775.92 / $2,131.10 / $2,632.14	Professional		$1,775.92	$2,131.10	$2,632.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,977.20 / $2,492.50 / $3,519.51	Facility		$1,977.20	$2,492.50	$3,519.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,336.25 / $2,692.32 / $4,363.60	Professional		$2,336.25	$2,692.32	$4,363.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,736.00 / $2,418.38 / $4,477.06	Facility		$1,736.00	$2,418.38	$4,477.06
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,736.00 / $2,418.38 / $4,477.06	Professional		$1,736.00	$2,418.38	$4,477.06
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 $1,547.10 / $2,437.06 / $4,106.83	Professional		$1,547.10	$2,437.06	$4,106.83