Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,761.70 / $4,796.00 / $9,539.00	Facility		$1,761.70	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,473.12 / $1,761.70 / $2,480.55	Professional		$1,473.12	$1,761.70	$2,480.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,955.00 / $11,210.00 / $17,424.00	Facility		$8,955.00	$11,210.00	$17,424.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,386.25 / $1,764.95 / $2,459.98	Professional		$1,386.25	$1,764.95	$2,459.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,846.17 / $2,051.75 / $4,000.91	Professional		$1,846.17	$2,051.75	$4,000.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,474.02 / $1,986.60 / $3,545.27	Professional		$1,474.02	$1,986.60	$3,545.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,428.42 / $1,714.10 / $2,114.06	Professional		$1,428.42	$1,714.10	$2,114.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,735.82 / $2,096.46 / $3,093.61	Facility		$1,735.82	$2,096.46	$3,093.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,843.00 / $2,203.00 / $3,508.58	Professional		$1,843.00	$2,203.00	$3,508.58
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,428.43 / $1,983.92 / $4,462.00	Facility		$1,428.43	$1,983.92	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,428.43 / $1,983.92 / $4,462.00	Professional		$1,428.43	$1,983.92	$4,462.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $3,295.00 / $5,790.00	Facility		$1,713.00	$3,295.00	$5,790.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,369.55 / $1,935.63 / $3,218.02	Professional		$1,369.55	$1,935.63	$3,218.02