Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,803.68 / $4,796.00 / $9,539.00	Facility		$1,803.68	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,505.98 / $1,803.68 / $2,523.85	Professional		$1,505.98	$1,803.68	$2,523.85
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 $1,399.32 / $1,779.04 / $2,483.16	Professional		$1,399.32	$1,779.04	$2,483.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,852.53 / $2,077.37 / $4,050.87	Professional		$1,852.53	$2,077.37	$4,050.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,487.04 / $1,929.74 / $3,615.96	Professional		$1,487.04	$1,929.74	$3,615.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,436.08 / $1,723.30 / $2,125.40	Professional		$1,436.08	$1,723.30	$2,125.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,655.91 / $2,038.16 / $3,174.75	Facility		$1,655.91	$2,038.16	$3,174.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,754.00 / $2,059.00 / $3,535.61	Professional		$1,754.00	$2,059.00	$3,535.61
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,358.71 / $1,999.34 / $4,462.00	Facility		$1,358.71	$1,999.34	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,358.71 / $1,999.34 / $4,462.00	Professional		$1,358.71	$1,999.34	$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 $1,251.24 / $1,795.10 / $3,282.19	Professional		$1,251.24	$1,795.10	$3,282.19