Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,226.00 / $6,827.70 / $11,024.00	Facility		$3,226.00	$6,827.70	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,243.15 / $10,301.44 / $11,345.62	Professional		$6,243.15	$10,301.44	$11,345.62
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 $10,142.09 / $12,892.98 / $17,755.95	Professional		$10,142.09	$12,892.98	$17,755.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $584.75 / $584.75 / $1,140.26	Professional		$584.75	$584.75	$1,140.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,468.12 / $4,161.74 / $5,132.82	Professional		$3,468.12	$4,161.74	$5,132.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $6,186.57 / $11,331.18 / $15,689.09	Facility		$6,186.57	$11,331.18	$15,689.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $9,353.00 / $10,174.00 / $14,310.89	Professional		$9,353.00	$10,174.00	$14,310.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $4,849.47 / $6,823.70 / $9,408.34	Facility		$4,849.47	$6,823.70	$9,408.34
Sentara Facility/Professional Professional Modifier Low / Median / High Price $4,849.47 / $6,823.70 / $9,408.34	Professional		$4,849.47	$6,823.70	$9,408.34
United Facility/Professional Facility Modifier Low / Median / High Price $12,301.00 / $20,974.00 / $40,876.00	Facility		$12,301.00	$20,974.00	$40,876.00
United Facility/Professional Professional Modifier Low / Median / High Price $9,512.12 / $14,662.28 / $21,805.29	Professional		$9,512.12	$14,662.28	$21,805.29