Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,774.00 / $4,796.00 / $9,539.00	Facility		$1,774.00	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,501.92 / $1,774.00 / $2,036.80	Professional		$1,501.92	$1,774.00	$2,036.80
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 $1,465.32 / $1,873.82 / $2,569.94	Professional		$1,465.32	$1,873.82	$2,569.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,772.50 / $1,985.20 / $3,456.38	Professional		$1,772.50	$1,985.20	$3,456.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,481.19 / $2,087.83 / $3,920.90	Professional		$1,481.19	$2,087.83	$3,920.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,469.79 / $1,763.75 / $2,178.21	Professional		$1,469.79	$1,763.75	$2,178.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,636.51 / $2,078.67 / $2,981.58	Facility		$1,636.51	$2,078.67	$2,981.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,922.29 / $2,229.07 / $3,610.80	Professional		$1,922.29	$2,229.07	$3,610.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,491.89 / $2,036.94 / $3,706.62	Facility		$1,491.89	$2,036.94	$3,706.62
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,491.89 / $2,036.94 / $3,706.62	Professional		$1,491.89	$2,036.94	$3,706.62
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 $1,276.75 / $2,034.81 / $3,203.05	Professional		$1,276.75	$2,034.81	$3,203.05