Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,555.48 / $4,771.00 / $9,539.00	Facility		$1,555.48	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,410.84 / $1,555.48 / $1,730.59	Professional		$1,410.84	$1,555.48	$1,730.59
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 $1,323.95 / $1,693.04 / $2,322.00	Professional		$1,323.95	$1,693.04	$2,322.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,628.26 / $1,823.65 / $3,175.11	Professional		$1,628.26	$1,823.65	$3,175.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,410.21 / $1,882.71 / $3,428.39	Professional		$1,410.21	$1,882.71	$3,428.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,362.89 / $1,635.47 / $2,017.08	Professional		$1,362.89	$1,635.47	$2,017.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,555.48 / $1,919.16 / $2,778.28	Facility		$1,555.48	$1,919.16	$2,778.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,734.00 / $1,986.00 / $3,356.11	Professional		$1,734.00	$1,986.00	$3,356.11
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,430.72 / $1,894.19 / $3,462.15	Facility		$1,430.72	$1,894.19	$3,462.15
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,430.72 / $1,894.19 / $3,462.15	Professional		$1,430.72	$1,894.19	$3,462.15
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 $1,138.01 / $1,905.11 / $3,030.84	Professional		$1,138.01	$1,905.11	$3,030.84