Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,573.11 / $5,048.00 / $10,767.00	Facility		$1,573.11	$5,048.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,317.88 / $1,573.11 / $1,616.44	Professional		$1,317.88	$1,573.11	$1,616.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.12 / $1,297.43 / $1,791.20	Professional		$1,023.12	$1,297.43	$1,791.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,886.37 / $1,886.37 / $3,678.42	Professional		$1,886.37	$1,886.37	$3,678.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,122.00 / $8,122.00 / $10,523.00	Facility		$8,122.00	$8,122.00	$10,523.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,354.75 / $1,625.70 / $2,005.03	Professional		$1,354.75	$1,625.70	$2,005.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,143.94 / $1,575.96 / $2,478.10	Facility		$1,143.94	$1,575.96	$2,478.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,829.00 / $2,423.00 / $3,344.83	Professional		$1,829.00	$2,423.00	$3,344.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,335.87 / $2,045.21 / $7,407.00	Facility		$1,335.87	$2,045.21	$7,407.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,335.87 / $2,045.21 / $7,407.00	Professional		$1,335.87	$2,045.21	$7,407.00
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 $1,250.17 / $2,058.67 / $2,879.28	Professional		$1,250.17	$2,058.67	$2,879.28