Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.88 / $4,845.24 / $10,767.00	Facility		$1,992.88	$4,845.24	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,721.01 / $1,992.88 / $2,214.90	Professional		$1,721.01	$1,992.88	$2,214.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,525.00 / $11,065.00 / $12,418.00	Facility		$8,525.00	$11,065.00	$12,418.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,605.78 / $2,053.42 / $2,816.27	Professional		$1,605.78	$2,053.42	$2,816.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,827.30 / $2,126.59 / $3,702.54	Professional		$1,827.30	$2,126.59	$3,702.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,730.45 / $2,432.26 / $4,479.76	Professional		$1,730.45	$2,432.26	$4,479.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,628.96 / $1,954.75 / $2,410.86	Professional		$1,628.96	$1,954.75	$2,410.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,933.96 / $2,386.13 / $3,279.17	Facility		$1,933.96	$2,386.13	$3,279.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,050.00 / $2,426.00 / $4,342.00	Professional		$2,050.00	$2,426.00	$4,342.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,737.33 / $2,293.28 / $4,235.31	Facility		$1,737.33	$2,293.28	$4,235.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,737.33 / $2,293.28 / $4,235.31	Professional		$1,737.33	$2,293.28	$4,235.31
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 $1,549.90 / $2,552.77 / $3,885.01	Professional		$1,549.90	$2,552.77	$3,885.01