Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,627.00 / $4,792.38 / $9,539.00	Facility		$1,627.00	$4,792.38	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,401.61 / $1,627.00 / $1,798.95	Professional		$1,401.61	$1,627.00	$1,798.95
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 $1,309.51 / $1,674.57 / $2,296.67	Professional		$1,309.51	$1,674.57	$2,296.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,650.03 / $1,904.21 / $3,315.37	Professional		$1,650.03	$1,904.21	$3,315.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,400.35 / $1,949.48 / $3,565.75	Professional		$1,400.35	$1,949.48	$3,565.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,329.66 / $1,595.59 / $1,967.90	Professional		$1,329.66	$1,595.59	$1,967.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,627.00 / $1,996.77 / $2,954.46	Facility		$1,627.00	$1,996.77	$2,954.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,874.00 / $2,079.00 / $3,271.32	Professional		$1,874.00	$2,079.00	$3,271.32
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,447.20 / $1,900.69 / $3,456.13	Facility		$1,447.20	$1,900.69	$3,456.13
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,447.20 / $1,900.69 / $3,456.13	Professional		$1,447.20	$1,900.69	$3,456.13
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 $1,183.98 / $2,065.81 / $3,167.97	Professional		$1,183.98	$2,065.81	$3,167.97