Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,869.55 / $4,796.00 / $9,539.00	Facility		$1,869.55	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,597.20 / $1,869.55 / $2,089.75	Professional		$1,597.20	$1,869.55	$2,089.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,685.00 / $17,371.00 / $24,194.30	Facility		$8,685.00	$17,371.00	$24,194.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,485.00 / $1,898.98 / $2,604.44	Professional		$1,485.00	$1,898.98	$2,604.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,757.56 / $1,968.47 / $3,427.24	Professional		$1,757.56	$1,968.47	$3,427.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,536.40 / $2,209.46 / $4,122.56	Professional		$1,536.40	$2,209.46	$4,122.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,498.92 / $1,798.70 / $2,218.40	Professional		$1,498.92	$1,798.70	$2,218.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,664.92 / $2,213.10 / $3,054.16	Facility		$1,664.92	$2,213.10	$3,054.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,116.00 / $2,616.00 / $3,698.86	Professional		$2,116.00	$2,616.00	$3,698.86
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,545.91 / $2,097.73 / $3,973.08	Facility		$1,545.91	$2,097.73	$3,973.08
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,545.91 / $2,097.73 / $3,973.08	Professional		$1,545.91	$2,097.73	$3,973.08
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 $1,368.43 / $2,191.64 / $3,612.51	Professional		$1,368.43	$2,191.64	$3,612.51