Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,722.56 / $4,796.00 / $9,539.00	Facility		$1,722.56	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,426.02 / $1,722.56 / $2,426.67	Professional		$1,426.02	$1,722.56	$2,426.67
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 $1,370.46 / $1,744.84 / $2,431.96	Professional		$1,370.46	$1,744.84	$2,431.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,832.22 / $2,024.77 / $3,948.30	Professional		$1,832.22	$2,024.77	$3,948.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,497.60 / $2,039.94 / $3,460.84	Professional		$1,497.60	$2,039.94	$3,460.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,408.86 / $1,690.63 / $2,085.11	Professional		$1,408.86	$1,690.63	$2,085.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,679.36 / $2,114.06 / $3,075.35	Facility		$1,679.36	$2,114.06	$3,075.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,914.00 / $2,160.33 / $3,464.98	Professional		$1,914.00	$2,160.33	$3,464.98
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,478.75 / $2,033.63 / $4,462.00	Facility		$1,478.75	$2,033.63	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,478.75 / $2,033.63 / $4,462.00	Professional		$1,478.75	$2,033.63	$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 $1,341.62 / $2,108.81 / $3,141.38	Professional		$1,341.62	$2,108.81	$3,141.38