Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,633.00 / $5,606.28 / $13,569.50	Facility		$3,633.00	$5,606.28	$13,569.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,661.97 / $5,606.28 / $6,975.02	Professional		$4,661.97	$5,606.28	$6,975.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,524.00 / $22,312.00 / $37,718.00	Facility		$12,524.00	$22,312.00	$37,718.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,376.55 / $5,564.20 / $7,766.44	Professional		$4,376.55	$5,564.20	$7,766.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $5,629.39 / $5,629.39 / $10,977.31	Professional		$5,629.39	$5,629.39	$10,977.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,503.35 / $5,404.03 / $6,664.97	Professional		$4,503.35	$5,404.03	$6,664.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4,949.74 / $6,341.76 / $9,474.61	Facility		$4,949.74	$6,341.76	$9,474.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5,237.00 / $6,228.00 / $9,226.00	Professional		$5,237.00	$6,228.00	$9,226.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $3,532.71 / $5,827.21 / $10,751.75	Facility		$3,532.71	$5,827.21	$10,751.75
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3,532.71 / $5,827.21 / $10,751.75	Professional		$3,532.71	$5,827.21	$10,751.75
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 $3,560.73 / $5,304.51 / $10,236.68	Professional		$3,560.73	$5,304.51	$10,236.68