Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,007.49 / $4,796.00 / $9,539.00	Facility		$2,007.49	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,589.90 / $1,934.73 / $2,007.49	Professional		$1,589.90	$1,934.73	$2,007.49
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 $1,628.52 / $2,082.51 / $2,856.16	Professional		$1,628.52	$2,082.51	$2,856.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,971.30 / $2,207.86 / $3,844.03	Professional		$1,971.30	$2,207.86	$3,844.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,761.21 / $2,360.48 / $4,423.45	Professional		$1,761.21	$2,360.48	$4,423.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,681.45 / $2,017.74 / $2,488.55	Professional		$1,681.45	$2,017.74	$2,488.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,834.63 / $2,374.37 / $3,420.81	Facility		$1,834.63	$2,374.37	$3,420.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,234.00 / $2,528.80 / $4,113.62	Professional		$2,234.00	$2,528.80	$4,113.62
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,775.51 / $2,325.19 / $7,777.21	Facility		$1,775.51	$2,325.19	$7,777.21
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,775.51 / $2,325.19 / $7,777.21	Professional		$1,775.51	$2,325.19	$7,777.21
United Facility/Professional Facility Modifier Low / Median / High Price $6,693.00 / $11,671.00 / $21,639.00	Facility		$6,693.00	$11,671.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,468.30 / $2,365.48 / $3,910.52	Professional		$1,468.30	$2,365.48	$3,910.52