Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.83 / $5,048.00 / $10,767.00	Facility		$1,733.83	$5,048.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,493.84 / $1,733.83 / $3,147.70	Professional		$1,493.84	$1,733.83	$3,147.70
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 $1,443.50 / $1,845.92 / $2,531.67	Professional		$1,443.50	$1,845.92	$2,531.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,848.29 / $2,139.51 / $3,725.05	Professional		$1,848.29	$2,139.51	$3,725.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,465.18 / $2,049.07 / $3,846.21	Professional		$1,465.18	$2,049.07	$3,846.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,448.91 / $1,738.69 / $2,148.38	Professional		$1,448.91	$1,738.69	$2,148.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,612.28 / $2,036.82 / $2,930.17	Facility		$1,612.28	$2,036.82	$2,930.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,844.00 / $2,178.00 / $3,560.02	Professional		$1,844.00	$2,178.00	$3,560.02
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,458.32 / $1,994.07 / $3,658.00	Facility		$1,458.32	$1,994.07	$3,658.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,458.32 / $1,994.07 / $3,658.00	Professional		$1,458.32	$1,994.07	$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 $1,252.43 / $1,977.85 / $3,335.59	Professional		$1,252.43	$1,977.85	$3,335.59