Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,366.86 / $5,048.00 / $9,539.00	Facility		$2,366.86	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,017.77 / $2,366.86 / $3,886.02	Professional		$2,017.77	$2,366.86	$3,886.02
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 $1,963.19 / $2,510.48 / $3,443.12	Professional		$1,963.19	$2,510.48	$3,443.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,368.32 / $2,652.52 / $4,618.22	Professional		$2,368.32	$2,652.52	$4,618.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,986.17 / $2,750.29 / $5,243.84	Professional		$1,986.17	$2,750.29	$5,243.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,970.21 / $2,364.25 / $2,920.84	Professional		$1,970.21	$2,364.25	$2,920.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,192.98 / $2,745.15 / $3,891.87	Facility		$2,192.98	$2,745.15	$3,891.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,449.00 / $2,889.00 / $4,839.74	Professional		$2,449.00	$2,889.00	$4,839.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,877.80 / $2,645.77 / $4,957.81	Facility		$1,877.80	$2,645.77	$4,957.81
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,877.80 / $2,645.77 / $4,957.81	Professional		$1,877.80	$2,645.77	$4,957.81
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 $1,707.54 / $2,671.95 / $4,547.66	Professional		$1,707.54	$2,671.95	$4,547.66