Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,906.80 / $4,796.00 / $9,539.00	Facility		$1,906.80	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,586.87 / $1,906.80 / $2,195.96	Professional		$1,586.87	$1,906.80	$2,195.96
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 $1,584.87 / $2,026.70 / $2,779.61	Professional		$1,584.87	$2,026.70	$2,779.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,818.48 / $2,036.70 / $3,546.04	Professional		$1,818.48	$2,036.70	$3,546.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,447.62 / $1,970.60 / $4,205.10	Professional		$1,447.62	$1,970.60	$4,205.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,593.18 / $1,911.82 / $2,363.81	Professional		$1,593.18	$1,911.82	$2,363.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,730.04 / $2,146.42 / $3,222.49	Facility		$1,730.04	$2,146.42	$3,222.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,644.00 / $2,012.00 / $3,220.00	Professional		$1,644.00	$2,012.00	$3,220.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,508.11 / $1,982.32 / $3,975.40	Facility		$1,508.11	$1,982.32	$3,975.40
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,508.11 / $1,982.32 / $3,975.40	Professional		$1,508.11	$1,982.32	$3,975.40
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 $1,369.30 / $1,971.39 / $3,646.83	Professional		$1,369.30	$1,971.39	$3,646.83