Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,823.46 / $4,796.00 / $9,539.00	Facility		$1,823.46	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,515.95 / $1,823.46 / $2,565.67	Professional		$1,515.95	$1,823.46	$2,565.67
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 $1,436.37 / $1,828.76 / $2,548.92	Professional		$1,436.37	$1,828.76	$2,548.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,915.22 / $2,126.75 / $4,147.16	Professional		$1,915.22	$2,126.75	$4,147.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,590.29 / $2,059.27 / $3,664.19	Professional		$1,590.29	$2,059.27	$3,664.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,481.51 / $1,777.81 / $2,192.63	Professional		$1,481.51	$1,777.81	$2,192.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,791.80 / $2,246.03 / $3,204.78	Facility		$1,791.80	$2,246.03	$3,204.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,031.00 / $2,268.00 / $3,636.94	Professional		$2,031.00	$2,268.00	$3,636.94
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,490.73 / $2,069.91 / $4,462.00	Facility		$1,490.73	$2,069.91	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,490.73 / $2,069.91 / $4,462.00	Professional		$1,490.73	$2,069.91	$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 $1,416.95 / $2,051.16 / $3,514.44	Professional		$1,416.95	$2,051.16	$3,514.44