Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,661.94 / $4,796.00 / $9,539.00	Facility		$1,661.94	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,512.93 / $1,661.94 / $1,785.93	Professional		$1,512.93	$1,661.94	$1,785.93
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 $1,357.15 / $1,735.49 / $2,380.21	Professional		$1,357.15	$1,735.49	$2,380.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,628.22 / $1,823.61 / $3,175.03	Professional		$1,628.22	$1,823.61	$3,175.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,442.56 / $1,932.20 / $3,666.45	Professional		$1,442.56	$1,932.20	$3,666.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,381.90 / $1,658.28 / $2,045.21	Professional		$1,381.90	$1,658.28	$2,045.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,601.36 / $1,945.62 / $2,808.68	Facility		$1,601.36	$1,945.62	$2,808.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,746.00 / $2,128.00 / $3,391.68	Professional		$1,746.00	$2,128.00	$3,391.68
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,390.18 / $1,900.73 / $3,610.01	Facility		$1,390.18	$1,900.73	$3,610.01
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,390.18 / $1,900.73 / $3,610.01	Professional		$1,390.18	$1,900.73	$3,610.01
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 $1,236.85 / $1,749.47 / $3,209.90	Professional		$1,236.85	$1,749.47	$3,209.90