Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,079.05 / $8,920.00 / $18,862.00	Facility		$2,079.05	$8,920.00	$18,862.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,432.82 / $2,076.78 / $2,079.05	Professional		$1,432.82	$2,076.78	$2,079.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,966.61 / $33,300.96 / $46,381.49	Facility		$14,966.61	$33,300.96	$46,381.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,323.60 / $1,684.34 / $2,317.25	Professional		$1,323.60	$1,684.34	$2,317.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,496.03 / $2,496.03 / $4,867.26	Professional		$2,496.03	$2,496.03	$4,867.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,495.00 / $14,985.00 / $40,100.00	Facility		$8,495.00	$14,985.00	$40,100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,010.74 / $1,212.89 / $1,495.90	Professional		$1,010.74	$1,212.89	$1,495.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,292.13 / $2,079.05 / $3,166.39	Facility		$1,292.13	$2,079.05	$3,166.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,896.00 / $2,880.00 / $3,049.15	Professional		$1,896.00	$2,880.00	$3,049.15
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,264.08 / $2,430.61 / $9,929.00	Facility		$1,264.08	$2,430.61	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,264.08 / $2,430.61 / $9,929.00	Professional		$1,264.08	$2,430.61	$9,929.00
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 $1,584.35 / $2,594.03 / $3,929.64	Professional		$1,584.35	$2,594.03	$3,929.64