Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,945.70 / $4,796.00 / $9,539.00	Facility		$1,945.70	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,627.08 / $1,945.70 / $3,966.66	Professional		$1,627.08	$1,945.70	$3,966.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,955.00 / $11,210.00 / $17,424.00	Facility		$8,955.00	$11,210.00	$17,424.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,549.06 / $1,972.23 / $2,748.89	Professional		$1,549.06	$1,972.23	$2,748.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,064.44 / $2,255.26 / $4,397.76	Professional		$2,064.44	$2,255.26	$4,397.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,692.75 / $2,206.42 / $3,936.60	Professional		$1,692.75	$2,206.42	$3,936.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,589.53 / $1,907.44 / $2,352.50	Professional		$1,589.53	$1,907.44	$2,352.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,910.87 / $2,316.05 / $3,427.74	Facility		$1,910.87	$2,316.05	$3,427.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,085.00 / $2,429.00 / $3,912.60	Professional		$2,085.00	$2,429.00	$3,912.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,603.56 / $2,148.16 / $4,462.00	Facility		$1,603.56	$2,148.16	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,603.56 / $2,148.16 / $4,462.00	Professional		$1,603.56	$2,148.16	$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 $1,450.37 / $2,055.77 / $3,756.60	Professional		$1,450.37	$2,055.77	$3,756.60