Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,686.21 / $4,796.00 / $9,539.00	Facility		$1,686.21	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,402.58 / $1,686.21 / $1,937.25	Professional		$1,402.58	$1,686.21	$1,937.25
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 $1,396.80 / $1,786.19 / $2,449.75	Professional		$1,396.80	$1,786.19	$2,449.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,456.00 / $1,704.95 / $2,839.20	Professional		$1,456.00	$1,704.95	$2,839.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,223.58 / $1,784.21 / $3,714.79	Professional		$1,223.58	$1,784.21	$3,714.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,404.31 / $1,685.17 / $2,083.08	Professional		$1,404.31	$1,685.17	$2,083.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,555.75 / $1,905.42 / $2,847.02	Facility		$1,555.75	$1,905.42	$2,847.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,458.00 / $1,918.00 / $2,857.00	Professional		$1,458.00	$1,918.00	$2,857.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,282.73 / $1,755.40 / $3,658.00	Facility		$1,282.73	$1,755.40	$3,658.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,282.73 / $1,755.40 / $3,658.00	Professional		$1,282.73	$1,755.40	$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 $1,209.64 / $1,738.86 / $3,190.43	Professional		$1,209.64	$1,738.86	$3,190.43