Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,514.28 / $4,771.00 / $9,539.00	Facility		$1,514.28	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,282.51 / $1,514.28 / $1,772.31	Professional		$1,282.51	$1,514.28	$1,772.31
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 $1,277.55 / $1,633.70 / $2,240.61	Professional		$1,277.55	$1,633.70	$2,240.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,542.95 / $1,728.10 / $3,008.75	Professional		$1,542.95	$1,728.10	$3,008.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,305.99 / $1,789.61 / $3,404.36	Professional		$1,305.99	$1,789.61	$3,404.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,284.06 / $1,540.87 / $1,904.48	Professional		$1,284.06	$1,540.87	$1,904.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,428.55 / $1,801.40 / $2,559.13	Facility		$1,428.55	$1,801.40	$2,559.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,548.00 / $1,913.00 / $3,151.87	Professional		$1,548.00	$1,913.00	$3,151.87
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,304.14 / $1,765.42 / $3,379.39	Facility		$1,304.14	$1,765.42	$3,379.39
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,304.14 / $1,765.42 / $3,379.39	Professional		$1,304.14	$1,765.42	$3,379.39
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 $1,108.55 / $1,614.37 / $2,923.81	Professional		$1,108.55	$1,614.37	$2,923.81