Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,988.05 / $4,796.00 / $9,539.00	Facility		$1,988.05	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,629.90 / $1,988.05 / $2,783.27	Professional		$1,629.90	$1,988.05	$2,783.27
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 $1,559.08 / $1,984.99 / $2,766.68	Professional		$1,559.08	$1,984.99	$2,766.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,078.92 / $2,280.52 / $4,447.01	Professional		$2,078.92	$2,280.52	$4,447.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,717.55 / $2,349.51 / $3,975.96	Professional		$1,717.55	$2,349.51	$3,975.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,606.89 / $1,928.27 / $2,378.19	Professional		$1,606.89	$1,928.27	$2,378.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,918.52 / $2,436.90 / $3,494.67	Facility		$1,918.52	$2,436.90	$3,494.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,198.00 / $2,453.00 / $3,947.26	Professional		$2,198.00	$2,453.00	$3,947.26
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,644.66 / $2,252.21 / $4,462.00	Facility		$1,644.66	$2,252.21	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,644.66 / $2,252.21 / $4,462.00	Professional		$1,644.66	$2,252.21	$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 $1,537.60 / $2,419.03 / $3,576.50	Professional		$1,537.60	$2,419.03	$3,576.50