Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,636.57 / $4,796.00 / $9,539.00	Facility		$1,636.57	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,371.83 / $1,636.57 / $2,334.41	Professional		$1,371.83	$1,636.57	$2,334.41
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 $1,318.83 / $1,679.10 / $2,340.34	Professional		$1,318.83	$1,679.10	$2,340.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,763.75 / $1,921.81 / $3,747.53	Professional		$1,763.75	$1,921.81	$3,747.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,439.58 / $1,973.13 / $3,329.02	Professional		$1,439.58	$1,973.13	$3,329.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,356.66 / $1,627.99 / $2,007.86	Professional		$1,356.66	$1,627.99	$2,007.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,613.62 / $2,028.17 / $2,898.47	Facility		$1,613.62	$2,028.17	$2,898.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,841.00 / $2,068.00 / $3,334.87	Professional		$1,841.00	$2,068.00	$3,334.87
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,422.90 / $1,946.04 / $4,462.00	Facility		$1,422.90	$1,946.04	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,422.90 / $1,946.04 / $4,462.00	Professional		$1,422.90	$1,946.04	$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 $1,290.85 / $1,873.75 / $2,925.37	Professional		$1,290.85	$1,873.75	$2,925.37