Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,734.93 / $4,796.00 / $9,539.00	Facility		$1,734.93	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,506.44 / $1,734.93 / $2,174.31	Professional		$1,506.44	$1,734.93	$2,174.31
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 $1,373.50 / $1,748.71 / $2,437.36	Professional		$1,373.50	$1,748.71	$2,437.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,739.50 / $1,748.92 / $3,392.03	Professional		$1,739.50	$1,748.92	$3,392.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.63 / $2,024.40 / $3,486.21	Professional		$1,513.63	$2,024.40	$3,486.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,409.70 / $1,691.64 / $2,086.36	Professional		$1,409.70	$1,691.64	$2,086.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,734.93 / $2,129.23 / $3,087.46	Facility		$1,734.93	$2,129.23	$3,087.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,026.00 / $2,206.00 / $3,470.40	Professional		$2,026.00	$2,206.00	$3,470.40
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,483.69 / $2,048.54 / $4,462.00	Facility		$1,483.69	$2,048.54	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,483.69 / $2,048.54 / $4,462.00	Professional		$1,483.69	$2,048.54	$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 $1,348.85 / $2,028.90 / $3,164.42	Professional		$1,348.85	$2,028.90	$3,164.42