Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,687.17 / $4,796.00 / $9,539.00	Facility		$1,687.17	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,424.54 / $1,687.17 / $3,492.36	Professional		$1,424.54	$1,687.17	$3,492.36
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 $1,369.55 / $1,743.68 / $2,430.35	Professional		$1,369.55	$1,743.68	$2,430.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,830.91 / $1,989.16 / $3,878.86	Professional		$1,830.91	$1,989.16	$3,878.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,495.61 / $1,993.92 / $3,457.68	Professional		$1,495.61	$1,993.92	$3,457.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,407.90 / $1,689.48 / $2,083.69	Professional		$1,407.90	$1,689.48	$2,083.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,676.06 / $2,053.07 / $2,985.07	Facility		$1,676.06	$2,053.07	$2,985.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,912.00 / $2,138.00 / $3,462.62	Professional		$1,912.00	$2,138.00	$3,462.62
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,455.11 / $1,983.55 / $4,462.00	Facility		$1,455.11	$1,983.55	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,455.11 / $1,983.55 / $4,462.00	Professional		$1,455.11	$1,983.55	$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 $1,340.30 / $2,078.00 / $3,324.31	Professional		$1,340.30	$2,078.00	$3,324.31