Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,142.13 / $4,796.00 / $9,539.00	Facility		$2,142.13	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,777.61 / $2,142.13 / $3,012.74	Professional		$1,777.61	$2,142.13	$3,012.74
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 $1,693.03 / $2,155.53 / $3,004.38	Professional		$1,693.03	$2,155.53	$3,004.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,256.53 / $2,502.69 / $4,880.26	Professional		$2,256.53	$2,502.69	$4,880.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,844.76 / $2,531.61 / $4,303.39	Professional		$1,844.76	$2,531.61	$4,303.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,736.57 / $2,083.88 / $2,570.12	Professional		$1,736.57	$2,083.88	$2,570.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,142.13 / $2,628.98 / $3,920.10	Facility		$2,142.13	$2,628.98	$3,920.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,378.00 / $2,682.88 / $4,276.37	Professional		$2,378.00	$2,682.88	$4,276.37
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,772.13 / $2,546.61 / $4,520.80	Facility		$1,772.13	$2,546.61	$4,520.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,772.13 / $2,546.61 / $4,520.80	Professional		$1,772.13	$2,546.61	$4,520.80
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 $1,663.82 / $2,599.84 / $3,906.16	Professional		$1,663.82	$2,599.84	$3,906.16