Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,841.03 / $4,796.00 / $9,539.00	Facility		$1,841.03	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,536.63 / $1,841.03 / $2,007.05	Professional		$1,536.63	$1,841.03	$2,007.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,685.00 / $17,371.00 / $24,194.30	Facility		$8,685.00	$17,371.00	$24,194.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,505.59 / $1,925.31 / $2,640.56	Professional		$1,505.59	$1,925.31	$2,640.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,836.20 / $2,164.76 / $3,769.00	Professional		$1,836.20	$2,164.76	$3,769.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,588.45 / $2,174.23 / $4,015.02	Professional		$1,588.45	$2,174.23	$4,015.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,542.77 / $1,851.32 / $2,283.30	Professional		$1,542.77	$1,851.32	$2,283.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,777.21 / $2,177.89 / $3,215.80	Facility		$1,777.21	$2,177.89	$3,215.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,073.00 / $2,328.00 / $3,822.38	Professional		$2,073.00	$2,328.00	$3,822.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,566.78 / $2,134.09 / $3,869.22	Facility		$1,566.78	$2,134.09	$3,869.22
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,566.78 / $2,134.09 / $3,869.22	Professional		$1,566.78	$2,134.09	$3,869.22
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 $1,332.73 / $2,184.94 / $3,515.07	Professional		$1,332.73	$2,184.94	$3,515.07