Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,543.22 / $4,771.00 / $9,539.00	Facility		$1,543.22	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,336.89 / $1,543.22 / $1,711.40	Professional		$1,336.89	$1,543.22	$1,711.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,685.00 / $17,371.00 / $24,194.30	Facility		$8,685.00	$17,371.00	$24,194.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,252.96 / $1,602.26 / $2,197.48	Professional		$1,252.96	$1,602.26	$2,197.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,582.93 / $1,814.98 / $3,160.01	Professional		$1,582.93	$1,814.98	$3,160.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,334.70 / $1,823.81 / $3,394.27	Professional		$1,334.70	$1,823.81	$3,394.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,273.58 / $1,528.31 / $1,884.91	Professional		$1,273.58	$1,528.31	$1,884.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,543.22 / $1,898.37 / $2,713.57	Facility		$1,543.22	$1,898.37	$2,713.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,736.00 / $1,945.00 / $3,132.65	Professional		$1,736.00	$1,945.00	$3,132.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,378.38 / $1,768.43 / $3,309.38	Facility		$1,378.38	$1,768.43	$3,309.38
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,378.38 / $1,768.43 / $3,309.38	Professional		$1,378.38	$1,768.43	$3,309.38
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 $1,126.68 / $1,853.58 / $3,068.24	Professional		$1,126.68	$1,853.58	$3,068.24