Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,723.14 / $4,796.00 / $9,539.00	Facility		$1,723.14	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,466.79 / $1,723.14 / $1,988.81	Professional		$1,466.79	$1,723.14	$1,988.81
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 $1,432.75 / $1,832.17 / $2,512.82	Professional		$1,432.75	$1,832.17	$2,512.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,727.48 / $1,934.78 / $3,368.59	Professional		$1,727.48	$1,934.78	$3,368.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,459.89 / $2,036.44 / $3,826.75	Professional		$1,459.89	$2,036.44	$3,826.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,438.27 / $1,725.92 / $2,132.29	Professional		$1,438.27	$1,725.92	$2,132.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,600.85 / $2,024.89 / $2,912.11	Facility		$1,600.85	$2,024.89	$2,912.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,833.00 / $2,163.94 / $3,532.18	Professional		$1,833.00	$2,163.94	$3,532.18
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,508.58 / $1,983.35 / $3,658.00	Facility		$1,508.58	$1,983.35	$3,658.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,508.58 / $1,983.35 / $3,658.00	Professional		$1,508.58	$1,983.35	$3,658.00
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 $1,247.42 / $1,981.60 / $3,318.69	Professional		$1,247.42	$1,981.60	$3,318.69