Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.44 / $4,796.00 / $9,539.00	Facility		$1,924.44	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,610.49 / $1,924.44 / $2,735.83	Professional		$1,610.49	$1,924.44	$2,735.83
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 $1,543.59 / $1,965.27 / $2,739.20	Professional		$1,543.59	$1,965.27	$2,739.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,061.69 / $2,227.84 / $4,344.29	Professional		$2,061.69	$2,227.84	$4,344.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,683.65 / $2,274.34 / $3,903.57	Professional		$1,683.65	$2,274.34	$3,903.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,584.91 / $1,901.89 / $2,345.67	Professional		$1,584.91	$1,901.89	$2,345.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,868.71 / $2,385.67 / $3,431.00	Facility		$1,868.71	$2,385.67	$3,431.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,159.00 / $2,413.00 / $3,901.25	Professional		$2,159.00	$2,413.00	$3,901.25
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,659.40 / $2,218.34 / $4,462.00	Facility		$1,659.40	$2,218.34	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,659.40 / $2,218.34 / $4,462.00	Professional		$1,659.40	$2,218.34	$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 $1,511.89 / $2,371.13 / $3,837.37	Professional		$1,511.89	$2,371.13	$3,837.37