Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,823.37 / $4,796.00 / $9,539.00	Facility		$1,823.37	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,565.50 / $1,823.37 / $2,083.26	Professional		$1,565.50	$1,823.37	$2,083.26
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 $1,500.67 / $1,919.02 / $2,631.93	Professional		$1,500.67	$1,919.02	$2,631.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,814.22 / $2,031.93 / $3,537.73	Professional		$1,814.22	$2,031.93	$3,537.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,530.04 / $2,154.89 / $4,008.96	Professional		$1,530.04	$2,154.89	$4,008.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,505.86 / $1,807.03 / $2,232.23	Professional		$1,505.86	$1,807.03	$2,232.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,676.29 / $2,126.15 / $3,051.95	Facility		$1,676.29	$2,126.15	$3,051.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,941.00 / $2,280.14 / $3,698.93	Professional		$1,941.00	$2,280.14	$3,698.93
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,544.26 / $2,070.00 / $3,789.91	Facility		$1,544.26	$2,070.00	$3,789.91
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,544.26 / $2,070.00 / $3,789.91	Professional		$1,544.26	$2,070.00	$3,789.91
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 $1,305.42 / $2,025.37 / $3,476.72	Professional		$1,305.42	$2,025.37	$3,476.72