Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,999.64 / $4,796.00 / $9,539.00	Facility		$1,999.64	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,379.48 / $1,999.64 / $2,060.48	Professional		$1,379.48	$1,999.64	$2,060.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,671.00 / $14,495.61 / $20,189.45	Facility		$8,671.00	$14,495.61	$20,189.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,530.78 / $1,957.53 / $2,684.75	Professional		$1,530.78	$1,957.53	$2,684.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $794.00 / $1,933.20 / $3,981.20	Professional		$794.00	$1,933.20	$3,981.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,602.66 / $2,247.98 / $4,324.26	Professional		$1,602.66	$2,247.98	$4,324.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,563.57 / $1,876.28 / $2,314.08	Professional		$1,563.57	$1,876.28	$2,314.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,491.34 / $2,193.26 / $3,266.68	Facility		$1,491.34	$2,193.26	$3,266.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,108.66 / $2,397.38 / $3,867.29	Professional		$2,108.66	$2,397.38	$3,867.29
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,663.78 / $2,156.05 / $4,167.47	Facility		$1,663.78	$2,156.05	$4,167.47
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,663.78 / $2,156.05 / $4,167.47	Professional		$1,663.78	$2,156.05	$4,167.47
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 $1,435.38 / $2,142.48 / $3,806.31	Professional		$1,435.38	$2,142.48	$3,806.31