Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,652.72 / $4,796.00 / $9,539.00	Facility		$1,652.72	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,375.44 / $1,652.72 / $1,804.84	Professional		$1,375.44	$1,652.72	$1,804.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,671.00 / $14,927.78 / $20,791.37	Facility		$8,671.00	$14,927.78	$20,791.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,329.18 / $1,699.73 / $2,331.17	Professional		$1,329.18	$1,699.73	$2,331.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,671.31 / $1,944.29 / $3,385.14	Professional		$1,671.31	$1,944.29	$3,385.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,461.84 / $1,953.22 / $3,626.36	Professional		$1,461.84	$1,953.22	$3,626.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,376.11 / $1,651.33 / $2,036.64	Professional		$1,376.11	$1,651.33	$2,036.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,556.40 / $2,030.99 / $2,810.70	Facility		$1,556.40	$2,030.99	$2,810.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,836.00 / $2,035.00 / $3,378.36	Professional		$1,836.00	$2,035.00	$3,378.36
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,426.49 / $1,946.43 / $3,494.66	Facility		$1,426.49	$1,946.43	$3,494.66
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,426.49 / $1,946.43 / $3,494.66	Professional		$1,426.49	$1,946.43	$3,494.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $3,295.00 / $5,790.00	Facility		$1,713.00	$3,295.00	$5,790.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,253.81 / $1,930.86 / $3,149.82	Professional		$1,253.81	$1,930.86	$3,149.82