Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,945.28 / $4,796.00 / $9,539.00	Facility		$1,945.28	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,616.75 / $1,945.28 / $2,731.29	Professional		$1,616.75	$1,945.28	$2,731.29
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 $1,534.18 / $1,953.27 / $2,722.48	Professional		$1,534.18	$1,953.27	$2,722.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,927.24 / $1,950.20 / $3,758.12	Professional		$1,927.24	$1,950.20	$3,758.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,671.66 / $2,298.96 / $3,905.76	Professional		$1,671.66	$2,298.96	$3,905.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,573.62 / $1,888.34 / $2,328.96	Professional		$1,573.62	$1,888.34	$2,328.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,871.27 / $2,366.86 / $3,418.60	Facility		$1,871.27	$2,366.86	$3,418.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,127.00 / $2,438.52 / $3,874.08	Professional		$2,127.00	$2,438.52	$3,874.08
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,657.53 / $2,224.00 / $4,462.00	Facility		$1,657.53	$2,224.00	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,657.53 / $2,224.00 / $4,462.00	Professional		$1,657.53	$2,224.00	$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 $1,508.96 / $2,333.84 / $3,545.23	Professional		$1,508.96	$2,333.84	$3,545.23