Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,863.97 / $4,796.00 / $9,539.00	Facility		$1,863.97	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,550.20 / $1,863.97 / $2,033.56	Professional		$1,550.20	$1,863.97	$2,033.56
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 $1,495.44 / $1,912.34 / $2,622.77	Professional		$1,495.44	$1,912.34	$2,622.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,879.50 / $2,106.44 / $3,667.48	Professional		$1,879.50	$2,106.44	$3,667.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,644.86 / $2,202.87 / $4,083.01	Professional		$1,644.86	$2,202.87	$4,083.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,548.40 / $1,858.08 / $2,291.63	Professional		$1,548.40	$1,858.08	$2,291.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,750.60 / $2,272.46 / $3,162.68	Facility		$1,750.60	$2,272.46	$3,162.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,082.00 / $2,285.09 / $3,800.90	Professional		$2,082.00	$2,285.09	$3,800.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,629.68 / $2,146.82 / $3,934.94	Facility		$1,629.68	$2,146.82	$3,934.94
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,629.68 / $2,146.82 / $3,934.94	Professional		$1,629.68	$2,146.82	$3,934.94
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 $1,363.75 / $2,191.23 / $3,544.50	Professional		$1,363.75	$2,191.23	$3,544.50