Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,633.00 / $5,412.00 / $14,796.00	Facility		$3,633.00	$5,412.00	$14,796.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,445.93 / $4,040.35 / $4,474.47	Professional		$3,445.93	$4,040.35	$4,474.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,524.00 / $22,312.00 / $37,718.00	Facility		$12,524.00	$22,312.00	$37,718.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,187.89 / $4,076.59 / $5,591.04	Professional		$3,187.89	$4,076.59	$5,591.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4,024.38 / $4,507.31 / $7,847.54	Professional		$4,024.38	$4,507.31	$7,847.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,243.68 / $3,892.42 / $4,800.64	Professional		$3,243.68	$3,892.42	$4,800.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $3,721.38 / $4,629.42 / $6,891.63	Facility		$3,721.38	$4,629.42	$6,891.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,190.00 / $4,629.00 / $7,511.45	Professional		$4,190.00	$4,629.00	$7,511.45
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3,011.90 / $4,334.60 / $8,144.48	Facility		$3,011.90	$4,334.60	$8,144.48
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3,011.90 / $4,334.60 / $8,144.48	Professional		$3,011.90	$4,334.60	$8,144.48
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 $2,871.16 / $4,304.89 / $7,343.67	Professional		$2,871.16	$4,304.89	$7,343.67