Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,493.20 / $4,771.00 / $9,539.00	Facility		$1,493.20	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,290.75 / $1,493.20 / $1,658.40	Professional		$1,290.75	$1,493.20	$1,658.40
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 $1,205.94 / $1,542.13 / $2,115.03	Professional		$1,205.94	$1,542.13	$2,115.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,518.90 / $1,757.52 / $3,059.96	Professional		$1,518.90	$1,757.52	$3,059.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,292.70 / $1,764.69 / $3,290.73	Professional		$1,292.70	$1,764.69	$3,290.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,224.22 / $1,469.06 / $1,811.85	Professional		$1,224.22	$1,469.06	$1,811.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,493.20 / $1,840.03 / $2,614.52	Facility		$1,493.20	$1,840.03	$2,614.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,666.00 / $1,879.00 / $3,012.29	Professional		$1,666.00	$1,879.00	$3,012.29
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,328.77 / $1,769.74 / $3,180.53	Facility		$1,328.77	$1,769.74	$3,180.53
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,328.77 / $1,769.74 / $3,180.53	Professional		$1,328.77	$1,769.74	$3,180.53
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 $1,064.32 / $1,792.39 / $2,899.32	Professional		$1,064.32	$1,792.39	$2,899.32