Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.93 / $4,796.00 / $9,539.00	Facility		$1,995.93	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,716.40 / $1,995.93 / $2,232.61	Professional		$1,716.40	$1,995.93	$2,232.61
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 $1,604.85 / $2,052.25 / $2,814.66	Professional		$1,604.85	$2,052.25	$2,814.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,016.78 / $2,348.17 / $4,088.35	Professional		$2,016.78	$2,348.17	$4,088.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,765.88 / $2,379.38 / $4,386.00	Professional		$1,765.88	$2,379.38	$4,386.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,662.32 / $1,994.78 / $2,460.23	Professional		$1,662.32	$1,994.78	$2,460.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,955.95 / $2,457.07 / $3,601.42	Facility		$1,955.95	$2,457.07	$3,601.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,228.00 / $2,461.00 / $4,078.94	Professional		$2,228.00	$2,461.00	$4,078.94
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,723.78 / $2,335.09 / $4,227.06	Facility		$1,723.78	$2,335.09	$4,227.06
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,723.78 / $2,335.09 / $4,227.06	Professional		$1,723.78	$2,335.09	$4,227.06
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 $1,513.93 / $2,334.29 / $3,807.70	Professional		$1,513.93	$2,334.29	$3,807.70