Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,825.50 / $4,796.00 / $9,539.00	Facility		$1,825.50	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,666.84 / $1,825.50 / $2,561.44	Professional		$1,666.84	$1,825.50	$2,561.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,480.37 / $9,394.00 / $12,872.86	Facility		$6,480.37	$9,394.00	$12,872.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,443.96 / $1,838.42 / $2,562.40	Professional		$1,443.96	$1,838.42	$2,562.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,821.24 / $1,939.12 / $3,781.28	Professional		$1,821.24	$1,939.12	$3,781.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,604.50 / $2,161.23 / $3,700.29	Professional		$1,604.50	$2,161.23	$3,700.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,476.94 / $1,772.33 / $2,185.87	Professional		$1,476.94	$1,772.33	$2,185.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,825.50 / $2,243.04 / $3,335.35	Facility		$1,825.50	$2,243.04	$3,335.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,177.00 / $2,486.00 / $3,636.26	Professional		$2,177.00	$2,486.00	$3,636.26
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,554.96 / $2,209.85 / $4,462.00	Facility		$1,554.96	$2,209.85	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,554.96 / $2,209.85 / $4,462.00	Professional		$1,554.96	$2,209.85	$4,462.00
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 $1,422.48 / $2,381.01 / $3,358.73	Professional		$1,422.48	$2,381.01	$3,358.73