Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,487.48 / $5,048.00 / $9,539.00	Facility		$2,487.48	$5,048.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,974.26 / $2,487.48 / $3,352.12	Professional		$1,974.26	$2,487.48	$3,352.12
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 $2,041.72 / $2,641.75 / $4,367.60	Professional		$2,041.72	$2,641.75	$4,367.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,496.69 / $2,496.69 / $4,718.76	Professional		$2,496.69	$2,496.69	$4,718.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $2,528.87	Facility		$640.00	$640.00	$2,528.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,990.02 / $2,660.46 / $4,812.10	Professional		$1,990.02	$2,660.46	$4,812.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,996.73 / $2,584.00 / $3,053.82	Professional		$1,996.73	$2,584.00	$3,053.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,091.15 / $2,802.76 / $4,228.63	Facility		$2,091.15	$2,802.76	$4,228.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,553.08 / $2,996.00 / $4,073.00	Professional		$2,553.08	$2,996.00	$4,073.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,994.23 / $2,640.63 / $4,835.08	Facility		$1,994.23	$2,640.63	$4,835.08
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,994.23 / $2,640.63 / $4,835.08	Professional		$1,994.23	$2,640.63	$4,835.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $2,959.00 / $5,226.00	Facility		$1,275.00	$2,959.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,602.88 / $2,476.84 / $4,145.30	Professional		$1,602.88	$2,476.84	$4,145.30