Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,631.01 / $4,796.00 / $9,539.00	Facility		$1,631.01	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,344.51 / $1,631.01 / $2,318.01	Professional		$1,344.51	$1,631.01	$2,318.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,456.00 / $22,282.06 / $31,034.38	Facility		$12,456.00	$22,282.06	$31,034.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,299.39 / $1,654.35 / $2,305.83	Professional		$1,299.39	$1,654.35	$2,305.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,733.90 / $1,898.82 / $3,702.70	Professional		$1,733.90	$1,898.82	$3,702.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,425.53 / $1,863.10 / $3,308.56	Professional		$1,425.53	$1,863.10	$3,308.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,340.12 / $1,608.14 / $1,983.38	Professional		$1,340.12	$1,608.14	$1,983.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,617.08 / $2,030.85 / $2,881.15	Facility		$1,617.08	$2,030.85	$2,881.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,820.00 / $2,027.00 / $3,290.50	Professional		$1,820.00	$2,027.00	$3,290.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,348.60 / $1,856.75 / $4,462.00	Facility		$1,348.60	$1,856.75	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,348.60 / $1,856.75 / $4,462.00	Professional		$1,348.60	$1,856.75	$4,462.00
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 $1,280.27 / $1,884.74 / $3,175.43	Professional		$1,280.27	$1,884.74	$3,175.43