Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,830.07 / $4,796.00 / $9,539.00	Facility		$1,830.07	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,516.24 / $1,830.07 / $2,590.19	Professional		$1,516.24	$1,830.07	$2,590.19
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 $1,460.06 / $1,858.92 / $2,590.96	Professional		$1,460.06	$1,858.92	$2,590.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,948.84 / $2,114.67 / $4,123.63	Professional		$1,948.84	$2,114.67	$4,123.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,590.29 / $2,088.01 / $3,696.77	Professional		$1,590.29	$2,088.01	$3,696.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,498.45 / $1,798.14 / $2,217.71	Professional		$1,498.45	$1,798.14	$2,217.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,780.18 / $2,258.37 / $3,221.80	Facility		$1,780.18	$2,258.37	$3,221.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,032.00 / $2,269.00 / $3,689.47	Professional		$2,032.00	$2,269.00	$3,689.47
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,512.26 / $2,065.90 / $4,462.00	Facility		$1,512.26	$2,065.90	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,512.26 / $2,065.90 / $4,462.00	Professional		$1,512.26	$2,065.90	$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 $1,430.97 / $2,166.21 / $3,355.52	Professional		$1,430.97	$2,166.21	$3,355.52