Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,937.67 / $4,796.00 / $9,539.00	Facility		$1,937.67	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,679.56 / $1,937.67 / $2,151.82	Professional		$1,679.56	$1,937.67	$2,151.82
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 $1,569.81 / $2,007.44 / $2,753.20	Professional		$1,569.81	$2,007.44	$2,753.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,978.61 / $2,278.73 / $3,967.45	Professional		$1,978.61	$2,278.73	$3,967.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,273.86 / $2,236.62 / $4,372.59	Professional		$1,273.86	$2,236.62	$4,372.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,592.82 / $1,911.38 / $2,357.37	Professional		$1,592.82	$1,911.38	$2,357.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,752.19 / $2,240.00 / $3,165.45	Facility		$1,752.19	$2,240.00	$3,165.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,071.92 / $2,431.00 / $3,921.55	Professional		$2,071.92	$2,431.00	$3,921.55
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,242.81 / $2,196.71 / $4,133.93	Facility		$1,242.81	$2,196.71	$4,133.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,242.81 / $2,196.71 / $4,133.93	Professional		$1,242.81	$2,196.71	$4,133.93
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 $1,305.02 / $1,991.03 / $3,782.20	Professional		$1,305.02	$1,991.03	$3,782.20