Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,794.64 / $4,796.00 / $9,539.00	Facility		$1,794.64	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,401.70 / $1,794.64 / $2,262.92	Professional		$1,401.70	$1,794.64	$2,262.92
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 $1,480.11 / $1,915.09 / $3,166.21	Professional		$1,480.11	$1,915.09	$3,166.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,804.30 / $1,826.78 / $3,410.13	Professional		$1,804.30	$1,826.78	$3,410.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,700.00 / $1,700.00 / $1,829.03	Facility		$1,700.00	$1,700.00	$1,829.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,507.37 / $1,947.40 / $3,589.20	Professional		$1,507.37	$1,947.40	$3,589.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,517.13 / $1,963.35 / $2,320.32	Professional		$1,517.13	$1,963.35	$2,320.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,658.35 / $2,099.73 / $3,155.43	Facility		$1,658.35	$2,099.73	$3,155.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,910.48 / $2,216.00 / $3,036.00	Professional		$1,910.48	$2,216.00	$3,036.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,507.27 / $1,970.45 / $3,704.40	Facility		$1,507.27	$1,970.45	$3,704.40
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,507.27 / $1,970.45 / $3,704.40	Professional		$1,507.27	$1,970.45	$3,704.40
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 $1,154.33 / $1,880.48 / $3,070.55	Professional		$1,154.33	$1,880.48	$3,070.55