Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,777.96 / $4,796.00 / $9,539.00	Facility		$1,777.96	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,544.04 / $1,777.96 / $2,623.59	Professional		$1,544.04	$1,777.96	$2,623.59
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 $1,481.02 / $1,885.60 / $2,628.16	Professional		$1,481.02	$1,885.60	$2,628.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,978.75 / $2,158.38 / $4,208.84	Professional		$1,978.75	$2,158.38	$4,208.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,619.10 / $2,192.77 / $3,745.61	Professional		$1,619.10	$2,192.77	$3,745.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,521.00 / $1,825.20 / $2,251.08	Professional		$1,521.00	$1,825.20	$2,251.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,777.96 / $2,287.62 / $3,281.51	Facility		$1,777.96	$2,287.62	$3,281.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,071.00 / $2,335.73 / $3,743.59	Professional		$2,071.00	$2,335.73	$3,743.59
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,597.84 / $2,172.52 / $4,462.00	Facility		$1,597.84	$2,172.52	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,597.84 / $2,172.52 / $4,462.00	Professional		$1,597.84	$2,172.52	$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 $1,451.32 / $2,163.55 / $3,344.80	Professional		$1,451.32	$2,163.55	$3,344.80