Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,741.93 / $4,796.00 / $9,539.00	Facility		$1,741.93	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,449.65 / $1,741.93 / $3,223.13	Professional		$1,449.65	$1,741.93	$3,223.13
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 $1,389.90 / $1,769.59 / $2,466.46	Professional		$1,389.90	$1,769.59	$2,466.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,856.60 / $2,006.46 / $3,912.60	Professional		$1,856.60	$2,006.46	$3,912.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,517.62 / $2,059.52 / $3,516.36	Professional		$1,517.62	$2,059.52	$3,516.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,428.61 / $1,714.33 / $2,114.34	Professional		$1,428.61	$1,714.33	$2,114.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,683.17 / $2,147.98 / $3,117.84	Facility		$1,683.17	$2,147.98	$3,117.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,944.00 / $2,194.42 / $3,513.36	Professional		$1,944.00	$2,194.42	$3,513.36
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,500.24 / $2,066.26 / $4,462.00	Facility		$1,500.24	$2,066.26	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,500.24 / $2,066.26 / $4,462.00	Professional		$1,500.24	$2,066.26	$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 $1,362.11 / $2,125.57 / $3,355.58	Professional		$1,362.11	$2,125.57	$3,355.58