Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,882.14 / $4,796.00 / $9,539.00	Facility		$1,882.14	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,559.39 / $1,882.14 / $2,650.90	Professional		$1,559.39	$1,882.14	$2,650.90
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 $1,484.36 / $1,889.86 / $2,634.08	Professional		$1,484.36	$1,889.86	$2,634.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,979.45 / $2,171.29 / $4,234.02	Professional		$1,979.45	$2,171.29	$4,234.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,636.59 / $2,193.98 / $3,785.22	Professional		$1,636.59	$2,193.98	$3,785.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,530.61 / $1,836.73 / $2,265.30	Professional		$1,530.61	$1,836.73	$2,265.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,827.68 / $2,321.53 / $3,367.70	Facility		$1,827.68	$2,321.53	$3,367.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,096.00 / $2,338.00 / $3,758.62	Professional		$2,096.00	$2,338.00	$3,758.62
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,576.86 / $2,146.52 / $4,462.00	Facility		$1,576.86	$2,146.52	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,576.86 / $2,146.52 / $4,462.00	Professional		$1,576.86	$2,146.52	$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 $1,463.87 / $2,248.73 / $3,435.82	Professional		$1,463.87	$2,248.73	$3,435.82