Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,611.94 / $4,771.00 / $9,539.00	Facility		$1,611.94	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,334.12 / $1,611.94 / $1,927.46	Professional		$1,334.12	$1,611.94	$1,927.46
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 $1,331.94 / $1,703.26 / $2,336.02	Professional		$1,331.94	$1,703.26	$2,336.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,615.42 / $1,878.92 / $3,271.34	Professional		$1,615.42	$1,878.92	$3,271.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.49 / $1,905.02 / $3,548.11	Professional		$1,380.49	$1,905.02	$3,548.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,346.82 / $1,616.18 / $1,993.29	Professional		$1,346.82	$1,616.18	$1,993.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,482.16 / $1,915.48 / $2,697.33	Facility		$1,482.16	$1,915.48	$2,697.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,796.00 / $2,031.00 / $3,325.56	Professional		$1,796.00	$2,031.00	$3,325.56
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,435.68 / $1,911.33 / $3,475.29	Facility		$1,435.68	$1,911.33	$3,475.29
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,435.68 / $1,911.33 / $3,475.29	Professional		$1,435.68	$1,911.33	$3,475.29
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 $1,197.22 / $1,945.48 / $3,094.35	Professional		$1,197.22	$1,945.48	$3,094.35