Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,607.52 / $4,771.00 / $10,767.00	Facility		$1,607.52	$4,771.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.01 / $1,607.52 / $1,878.12	Professional		$1,412.01	$1,607.52	$1,878.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,738.20 / $20,977.18 / $29,216.95	Facility		$12,738.20	$20,977.18	$29,216.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,351.31 / $1,728.02 / $2,369.96	Professional		$1,351.31	$1,728.02	$2,369.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,642.03 / $1,839.07 / $3,201.96	Professional		$1,642.03	$1,839.07	$3,201.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,384.56 / $1,899.80 / $3,612.62	Professional		$1,384.56	$1,899.80	$3,612.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,357.61 / $1,629.13 / $2,012.96	Professional		$1,357.61	$1,629.13	$2,012.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,510.75 / $1,918.33 / $2,716.71	Facility		$1,510.75	$1,918.33	$2,716.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,744.00 / $2,055.00 / $3,332.54	Professional		$1,744.00	$2,055.00	$3,332.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,365.89 / $1,883.47 / $3,573.91	Facility		$1,365.89	$1,883.47	$3,573.91
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,365.89 / $1,883.47 / $3,573.91	Professional		$1,365.89	$1,883.47	$3,573.91
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 $1,176.36 / $1,797.03 / $3,204.81	Professional		$1,176.36	$1,797.03	$3,204.81