Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,352.18 / $4,771.00 / $9,539.00	Facility		$1,352.18	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,080.80 / $1,320.02 / $1,352.18	Professional		$1,080.80	$1,320.02	$1,352.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,628.60 / $19,225.23 / $26,671.93	Facility		$11,628.60	$19,225.23	$26,671.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,130.95 / $1,446.24 / $1,983.51	Professional		$1,130.95	$1,446.24	$1,983.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,340.16 / $1,500.98 / $2,613.31	Professional		$1,340.16	$1,500.98	$2,613.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,162.50 / $1,579.25 / $3,005.16	Professional		$1,162.50	$1,579.25	$3,005.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,154.08 / $1,384.90 / $1,708.04	Professional		$1,154.08	$1,384.90	$1,708.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,241.16 / $1,588.89 / $2,212.50	Facility		$1,241.16	$1,588.89	$2,212.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,402.54 / $1,666.00 / $2,833.73	Professional		$1,402.54	$1,666.00	$2,833.73
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,121.57 / $1,538.40 / $3,030.69	Facility		$1,121.57	$1,538.40	$3,030.69
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,121.57 / $1,538.40 / $3,030.69	Professional		$1,121.57	$1,538.40	$3,030.69
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 $949.79 / $1,478.31 / $2,656.68	Professional		$949.79	$1,478.31	$2,656.68