Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,799.85 / $4,796.00 / $9,539.00	Facility		$1,799.85	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,453.73 / $1,799.85 / $2,076.65	Professional		$1,453.73	$1,799.85	$2,076.65
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 $1,496.67 / $1,913.91 / $3,164.26	Professional		$1,496.67	$1,913.91	$3,164.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,899.25 / $1,899.25 / $3,589.58	Professional		$1,899.25	$1,899.25	$3,589.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,700.00 / $1,700.00 / $1,828.45	Facility		$1,700.00	$1,700.00	$1,828.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,494.72 / $1,943.56 / $3,592.14	Professional		$1,494.72	$1,943.56	$3,592.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,515.80 / $1,961.62 / $2,318.28	Professional		$1,515.80	$1,961.62	$2,318.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,628.03 / $2,088.50 / $3,078.11	Facility		$1,628.03	$2,088.50	$3,078.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,880.81 / $2,228.00 / $3,042.00	Professional		$1,880.81	$2,228.00	$3,042.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,503.33 / $1,975.15 / $3,700.24	Facility		$1,503.33	$1,975.15	$3,700.24
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,503.33 / $1,975.15 / $3,700.24	Professional		$1,503.33	$1,975.15	$3,700.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.00 / $3,295.00 / $5,790.00	Facility		$1,584.00	$3,295.00	$5,790.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,180.16 / $1,859.59 / $2,999.01	Professional		$1,180.16	$1,859.59	$2,999.01