Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,877.92 / $4,796.00 / $9,539.00	Facility		$1,877.92	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,562.54 / $1,877.92 / $3,450.50	Professional		$1,562.54	$1,877.92	$3,450.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,498.34 / $1,907.65 / $2,658.88	Professional		$1,498.34	$1,907.65	$2,658.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,001.71 / $2,161.44 / $4,214.81	Professional		$2,001.71	$2,161.44	$4,214.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,629.04 / $2,219.35 / $3,788.09	Professional		$1,629.04	$2,219.35	$3,788.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,538.86 / $1,846.63 / $2,277.51	Professional		$1,538.86	$1,846.63	$2,277.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,821.73 / $2,304.71 / $3,367.88	Facility		$1,821.73	$2,304.71	$3,367.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,095.00 / $2,363.09 / $3,787.08	Professional		$2,095.00	$2,363.09	$3,787.08
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,616.59 / $2,181.81 / $4,462.00	Facility		$1,616.59	$2,181.81	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,616.59 / $2,181.81 / $4,462.00	Professional		$1,616.59	$2,181.81	$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 $1,467.55 / $2,363.63 / $3,438.43	Professional		$1,467.55	$2,363.63	$3,438.43