Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,867.15 / $4,796.00 / $9,539.00	Facility		$1,867.15	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,562.83 / $1,867.15 / $2,654.83	Professional		$1,562.83	$1,867.15	$2,654.83
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 $1,498.64 / $1,908.03 / $2,659.42	Professional		$1,498.64	$1,908.03	$2,659.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,002.10 / $2,136.29 / $4,165.77	Professional		$2,002.10	$2,136.29	$4,165.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,635.42 / $2,206.64 / $3,789.68	Professional		$1,635.42	$2,206.64	$3,789.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,539.51 / $1,847.41 / $2,278.46	Professional		$1,539.51	$1,847.41	$2,278.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,781.98 / $2,290.32 / $3,292.43	Facility		$1,781.98	$2,290.32	$3,292.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,096.00 / $2,343.00 / $3,787.90	Professional		$2,096.00	$2,343.00	$3,787.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,608.26 / $2,121.31 / $4,462.00	Facility		$1,608.26	$2,121.31	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,608.26 / $2,121.31 / $4,462.00	Professional		$1,608.26	$2,121.31	$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 $1,468.16 / $2,296.17 / $3,285.84	Professional		$1,468.16	$2,296.17	$3,285.84