Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,813.00 / $4,796.00 / $9,539.00	Facility		$1,813.00	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,554.36 / $1,813.00 / $2,078.66	Professional		$1,554.36	$1,813.00	$2,078.66
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 $1,497.60 / $1,915.09 / $2,626.54	Professional		$1,497.60	$1,915.09	$2,626.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,802.14 / $2,018.40 / $3,514.17	Professional		$1,802.14	$2,018.40	$3,514.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,495.31 / $2,017.65 / $3,991.11	Professional		$1,495.31	$2,017.65	$3,991.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,503.14 / $1,803.77 / $2,228.75	Professional		$1,503.14	$1,803.77	$2,228.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,672.99 / $2,111.86 / $3,048.51	Facility		$1,672.99	$2,111.86	$3,048.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,794.00 / $2,160.00 / $3,692.38	Professional		$1,794.00	$2,160.00	$3,692.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,507.56 / $2,046.06 / $3,773.01	Facility		$1,507.56	$2,046.06	$3,773.01
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,507.56 / $2,046.06 / $3,773.01	Professional		$1,507.56	$2,046.06	$3,773.01
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 $1,299.60 / $1,878.93 / $3,461.23	Professional		$1,299.60	$1,878.93	$3,461.23