Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,657.36 / $4,796.00 / $9,539.00	Facility		$1,657.36	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,430.57 / $1,657.36 / $1,832.43	Professional		$1,430.57	$1,657.36	$1,832.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,340.86 / $1,714.66 / $2,351.65	Professional		$1,340.86	$1,714.66	$2,351.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,752.78 / $1,963.11 / $3,417.92	Professional		$1,752.78	$1,963.11	$3,417.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,431.66 / $1,958.69 / $3,707.94	Professional		$1,431.66	$1,958.69	$3,707.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,363.42 / $1,636.10 / $2,017.86	Professional		$1,363.42	$1,636.10	$2,017.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,656.00 / $2,040.66 / $2,918.99	Facility		$1,656.00	$2,040.66	$2,918.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,839.00 / $2,058.00 / $3,352.15	Professional		$1,839.00	$2,058.00	$3,352.15
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,429.87 / $1,908.95 / $3,539.07	Facility		$1,429.87	$1,908.95	$3,539.07
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,429.87 / $1,908.95 / $3,539.07	Professional		$1,429.87	$1,908.95	$3,539.07
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 $1,185.68 / $1,884.44 / $3,212.25	Professional		$1,185.68	$1,884.44	$3,212.25