Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,725.26 / $4,796.00 / $9,539.00	Facility		$1,725.26	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,448.77 / $1,725.26 / $2,462.94	Professional		$1,448.77	$1,725.26	$2,462.94
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 $1,388.99 / $1,768.43 / $2,464.84	Professional		$1,388.99	$1,768.43	$2,464.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,855.39 / $2,024.66 / $3,948.09	Professional		$1,855.39	$2,024.66	$3,948.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,516.59 / $2,081.57 / $3,514.04	Professional		$1,516.59	$2,081.57	$3,514.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,427.65 / $1,713.18 / $2,112.92	Professional		$1,427.65	$1,713.18	$2,112.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,705.21 / $2,146.53 / $3,111.80	Facility		$1,705.21	$2,146.53	$3,111.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,943.00 / $2,192.50 / $3,510.96	Professional		$1,943.00	$2,192.50	$3,510.96
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,499.56 / $2,051.51 / $4,462.00	Facility		$1,499.56	$2,051.51	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,499.56 / $2,051.51 / $4,462.00	Professional		$1,499.56	$2,051.51	$4,462.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $3,295.00 / $5,790.00	Facility		$1,713.00	$3,295.00	$5,790.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,361.20 / $2,050.16 / $3,189.66	Professional		$1,361.20	$2,050.16	$3,189.66