Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,980.36 / $4,824.43 / $9,539.00	Facility		$1,980.36	$4,824.43	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,709.53 / $1,980.36 / $2,781.15	Professional		$1,709.53	$1,980.36	$2,781.15
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 $1,567.28 / $1,995.43 / $2,781.23	Professional		$1,567.28	$1,995.43	$2,781.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,070.29 / $2,303.80 / $4,492.41	Professional		$2,070.29	$2,303.80	$4,492.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,739.54 / $2,340.42 / $4,015.56	Professional		$1,739.54	$2,340.42	$4,015.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,601.85 / $1,922.22 / $2,370.73	Professional		$1,601.85	$1,922.22	$2,370.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,980.36 / $2,435.31 / $3,620.54	Facility		$1,980.36	$2,435.31	$3,620.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,272.00 / $2,536.00 / $3,946.22	Professional		$2,272.00	$2,536.00	$3,946.22
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,648.32 / $2,354.84 / $4,462.00	Facility		$1,648.32	$2,354.84	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,648.32 / $2,354.84 / $4,462.00	Professional		$1,648.32	$2,354.84	$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 $1,541.25 / $2,522.54 / $3,736.22	Professional		$1,541.25	$2,522.54	$3,736.22