Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.22 / $4,796.00 / $9,539.00	Facility		$1,758.22	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,455.32 / $1,758.22 / $2,485.21	Professional		$1,455.32	$1,758.22	$2,485.21
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 $1,392.03 / $1,772.30 / $2,470.23	Professional		$1,392.03	$1,772.30	$2,470.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,856.53 / $2,054.82 / $4,006.90	Professional		$1,856.53	$2,054.82	$4,006.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,540.38 / $2,056.01 / $3,550.22	Professional		$1,540.38	$2,056.01	$3,550.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,435.22 / $1,722.26 / $2,124.13	Professional		$1,435.22	$1,722.26	$2,124.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,735.04 / $2,177.25 / $3,160.50	Facility		$1,735.04	$2,177.25	$3,160.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,958.00 / $2,183.00 / $3,524.59	Professional		$1,958.00	$2,183.00	$3,524.59
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,460.78 / $2,035.80 / $4,462.00	Facility		$1,460.78	$2,035.80	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,460.78 / $2,035.80 / $4,462.00	Professional		$1,460.78	$2,035.80	$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 $1,373.29 / $2,047.09 / $3,222.52	Professional		$1,373.29	$2,047.09	$3,222.52