Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,799.58 / $4,796.00 / $9,539.00	Facility		$1,799.58	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,518.30 / $1,799.58 / $2,229.30	Professional		$1,518.30	$1,799.58	$2,229.30
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 $1,604.23 / $2,053.82 / $3,395.58	Professional		$1,604.23	$2,053.82	$3,395.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,039.31 / $2,039.31 / $3,854.30	Professional		$2,039.31	$2,039.31	$3,854.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,700.00 / $1,700.00 / $1,963.51	Facility		$1,700.00	$1,700.00	$1,963.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,555.40 / $2,089.85 / $3,859.02	Professional		$1,555.40	$2,089.85	$3,859.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,625.34 / $2,103.38 / $2,485.81	Professional		$1,625.34	$2,103.38	$2,485.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,674.09 / $2,201.42 / $3,266.57	Facility		$1,674.09	$2,201.42	$3,266.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,806.00 / $2,373.61 / $3,266.00	Professional		$1,806.00	$2,373.61	$3,266.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,581.17 / $2,095.86 / $3,970.26	Facility		$1,581.17	$2,095.86	$3,970.26
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,581.17 / $2,095.86 / $3,970.26	Professional		$1,581.17	$2,095.86	$3,970.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $2,959.00 / $5,226.00	Facility		$1,275.00	$2,959.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,270.63 / $1,930.47 / $3,385.88	Professional		$1,270.63	$1,930.47	$3,385.88