Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,781.59 / $4,796.00 / $9,539.00	Facility		$1,781.59	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,540.25 / $1,781.59 / $1,913.17	Professional		$1,540.25	$1,781.59	$1,913.17
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 $1,452.72 / $1,857.71 / $2,547.84	Professional		$1,452.72	$1,857.71	$2,547.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,655.46 / $1,854.12 / $3,228.15	Professional		$1,655.46	$1,854.12	$3,228.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,444.88 / $2,032.15 / $3,930.70	Professional		$1,444.88	$2,032.15	$3,930.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,479.08 / $1,774.90 / $2,189.04	Professional		$1,479.08	$1,774.90	$2,189.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,713.29 / $2,082.73 / $3,010.89	Facility		$1,713.29	$2,082.73	$3,010.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,831.99 / $2,195.00 / $3,629.95	Professional		$1,831.99	$2,195.00	$3,629.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,479.09 / $1,956.02 / $3,788.00	Facility		$1,479.09	$1,956.02	$3,788.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,479.09 / $1,956.02 / $3,788.00	Professional		$1,479.09	$1,956.02	$3,788.00
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 $1,326.08 / $2,103.90 / $3,573.85	Professional		$1,326.08	$2,103.90	$3,573.85