Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,368.54 / $4,771.00 / $9,539.00	Facility		$1,368.54	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,161.64 / $1,368.54 / $1,598.14	Professional		$1,161.64	$1,368.54	$1,598.14
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 $1,154.01 / $1,475.72 / $2,023.94	Professional		$1,154.01	$1,475.72	$2,023.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,393.37 / $1,560.57 / $2,717.07	Professional		$1,393.37	$1,560.57	$2,717.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,156.04 / $1,617.13 / $3,060.64	Professional		$1,156.04	$1,617.13	$3,060.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,162.61 / $1,395.14 / $1,725.69	Professional		$1,162.61	$1,395.14	$1,725.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,287.38 / $1,619.51 / $2,312.83	Facility		$1,287.38	$1,619.51	$2,312.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,411.00 / $1,728.00 / $2,850.89	Professional		$1,411.00	$1,728.00	$2,850.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,168.39 / $1,592.66 / $3,053.28	Facility		$1,168.39	$1,592.66	$3,053.28
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,168.39 / $1,592.66 / $3,053.28	Professional		$1,168.39	$1,592.66	$3,053.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,276.00 / $5,340.00	Facility		$1,911.00	$3,276.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $996.62 / $1,490.27 / $2,720.24	Professional		$996.62	$1,490.27	$2,720.24