Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,743.42 / $4,796.00 / $9,539.00	Facility		$1,743.42	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,602.06 / $1,892.92 / $3,522.72	Professional		$1,602.06	$1,892.92	$3,522.72
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 $1,384.43 / $1,762.62 / $2,456.75	Professional		$1,384.43	$1,762.62	$2,456.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,739.29 / $1,761.07 / $3,391.62	Professional		$1,739.29	$1,761.07	$3,391.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,512.13 / $2,044.23 / $3,517.20	Professional		$1,512.13	$2,044.23	$3,517.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,423.45 / $1,708.14 / $2,106.71	Professional		$1,423.45	$1,708.14	$2,106.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,671.00 / $2,139.00 / $3,117.50	Facility		$1,671.00	$2,139.00	$3,117.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,939.00 / $2,193.42 / $3,504.38	Professional		$1,939.00	$2,193.42	$3,504.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,485.63 / $2,026.55 / $4,462.00	Facility		$1,485.63	$2,026.55	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,485.63 / $2,026.55 / $4,462.00	Professional		$1,485.63	$2,026.55	$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 $1,357.78 / $2,070.04 / $3,367.67	Professional		$1,357.78	$2,070.04	$3,367.67