Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,840.58 / $4,796.00 / $9,539.00	Facility		$1,840.58	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,607.45 / $1,840.58 / $2,150.32	Professional		$1,607.45	$1,840.58	$2,150.32
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 $1,549.54 / $1,981.51 / $2,717.64	Professional		$1,549.54	$1,981.51	$2,717.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,866.34 / $2,090.30 / $3,639.36	Professional		$1,866.34	$2,090.30	$3,639.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,568.33 / $2,175.23 / $4,128.59	Professional		$1,568.33	$2,175.23	$4,128.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,555.53 / $1,866.64 / $2,306.38	Professional		$1,555.53	$1,866.64	$2,306.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,730.86 / $2,184.61 / $3,110.58	Facility		$1,730.86	$2,184.61	$3,110.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,944.00 / $2,343.46 / $3,821.26	Professional		$1,944.00	$2,343.46	$3,821.26
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,522.66 / $2,116.80 / $3,903.04	Facility		$1,522.66	$2,116.80	$3,903.04
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,522.66 / $2,116.80 / $3,903.04	Professional		$1,522.66	$2,116.80	$3,903.04
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 $1,344.38 / $2,128.50 / $3,662.21	Professional		$1,344.38	$2,128.50	$3,662.21