Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,648.91 / $4,796.00 / $9,539.00	Facility		$1,648.91	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,363.71 / $1,648.91 / $2,309.10	Professional		$1,363.71	$1,648.91	$2,309.10
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 $1,294.83 / $1,648.55 / $2,297.75	Professional		$1,294.83	$1,648.55	$2,297.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,727.91 / $1,924.08 / $3,751.96	Professional		$1,727.91	$1,924.08	$3,751.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,418.37 / $1,856.08 / $3,296.83	Professional		$1,418.37	$1,856.08	$3,296.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,335.18 / $1,602.22 / $1,976.07	Professional		$1,335.18	$1,602.22	$1,976.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,534.97 / $1,948.70 / $2,898.06	Facility		$1,534.97	$1,948.70	$2,898.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,797.00 / $2,043.00 / $3,278.90	Professional		$1,797.00	$2,043.00	$3,278.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,343.86 / $1,843.87 / $4,462.00	Facility		$1,343.86	$1,843.87	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,343.86 / $1,843.87 / $4,462.00	Professional		$1,343.86	$1,843.87	$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 $1,275.78 / $1,843.65 / $3,164.29	Professional		$1,275.78	$1,843.65	$3,164.29