Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,577.90 / $4,771.00 / $9,539.00	Facility		$1,577.90	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,359.51 / $1,577.90 / $1,745.20	Professional		$1,359.51	$1,577.90	$1,745.20
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 $1,270.79 / $1,625.06 / $2,228.76	Professional		$1,270.79	$1,625.06	$2,228.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,601.62 / $1,842.59 / $3,208.08	Professional		$1,601.62	$1,842.59	$3,208.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,358.16 / $1,859.91 / $3,457.16	Professional		$1,358.16	$1,859.91	$3,457.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,289.75 / $1,547.70 / $1,908.83	Professional		$1,289.75	$1,547.70	$1,908.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,577.90 / $1,903.11 / $2,798.09	Facility		$1,577.90	$1,903.11	$2,798.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,611.00 / $1,995.00 / $3,174.72	Professional		$1,611.00	$1,995.00	$3,174.72
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,402.86 / $1,863.65 / $3,353.71	Facility		$1,402.86	$1,863.65	$3,353.71
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,402.86 / $1,863.65 / $3,353.71	Professional		$1,402.86	$1,863.65	$3,353.71
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 $1,147.56 / $1,850.44 / $3,047.02	Professional		$1,147.56	$1,850.44	$3,047.02