Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,938.54 / $4,796.00 / $9,539.00	Facility		$1,938.54	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.54 / $1,938.54 / $3,586.07	Professional		$1,621.54	$1,938.54	$3,586.07
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 $1,538.73 / $1,959.08 / $2,730.57	Professional		$1,538.73	$1,959.08	$2,730.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,049.10 / $2,222.17 / $4,333.22	Professional		$2,049.10	$2,222.17	$4,333.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,676.89 / $2,291.00 / $3,917.55	Professional		$1,676.89	$2,291.00	$3,917.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,578.55 / $1,894.26 / $2,336.25	Professional		$1,578.55	$1,894.26	$2,336.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,875.60 / $2,373.48 / $3,414.47	Facility		$1,875.60	$2,373.48	$3,414.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,131.00 / $2,418.00 / $3,885.65	Professional		$2,131.00	$2,418.00	$3,885.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,635.35 / $2,222.75 / $4,462.00	Facility		$1,635.35	$2,222.75	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,635.35 / $2,222.75 / $4,462.00	Professional		$1,635.35	$2,222.75	$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 $1,513.49 / $2,378.00 / $3,753.87	Professional		$1,513.49	$2,378.00	$3,753.87