Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,972.78 / $4,804.78 / $9,539.00	Facility		$1,972.78	$4,804.78	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,651.51 / $1,972.78 / $2,492.85	Professional		$1,651.51	$1,972.78	$2,492.85
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 $1,570.62 / $1,999.68 / $2,787.16	Professional		$1,570.62	$1,999.68	$2,787.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,092.71 / $2,289.78 / $4,465.07	Professional		$2,092.71	$2,289.78	$4,465.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,720.36 / $2,331.46 / $3,994.58	Professional		$1,720.36	$2,331.46	$3,994.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,611.48 / $1,933.78 / $2,384.98	Professional		$1,611.48	$1,933.78	$2,384.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,938.93 / $2,441.91 / $3,528.48	Facility		$1,938.93	$2,441.91	$3,528.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,209.00 / $2,483.00 / $3,966.82	Professional		$2,209.00	$2,483.00	$3,966.82
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,695.68 / $2,261.54 / $4,462.00	Facility		$1,695.68	$2,261.54	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,695.68 / $2,261.54 / $4,462.00	Professional		$1,695.68	$2,261.54	$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 $1,544.04 / $2,449.23 / $3,811.93	Professional		$1,544.04	$2,449.23	$3,811.93