Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,561.35 / $4,771.00 / $9,539.00	Facility		$1,561.35	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,308.97 / $1,561.35 / $2,558.58	Professional		$1,308.97	$1,561.35	$2,558.58
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 $1,292.30 / $1,652.57 / $2,266.48	Professional		$1,292.30	$1,652.57	$2,266.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,560.84 / $1,748.14 / $3,043.64	Professional		$1,560.84	$1,748.14	$3,043.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,316.63 / $1,824.87 / $3,449.91	Professional		$1,316.63	$1,824.87	$3,449.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,297.58 / $1,557.10 / $1,923.79	Professional		$1,297.58	$1,557.10	$1,923.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,444.08 / $1,839.85 / $2,630.46	Facility		$1,444.08	$1,839.85	$2,630.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,699.00 / $1,950.00 / $3,186.65	Professional		$1,699.00	$1,950.00	$3,186.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,360.76 / $1,791.91 / $3,419.52	Facility		$1,360.76	$1,791.91	$3,419.52
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,360.76 / $1,791.91 / $3,419.52	Professional		$1,360.76	$1,791.91	$3,419.52
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 $1,127.35 / $1,755.23 / $2,991.89	Professional		$1,127.35	$1,755.23	$2,991.89