Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,762.50 / $5,048.00 / $10,767.00	Facility		$1,762.50	$5,048.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,072.23 / $1,762.50 / $2,078.23	Professional		$1,072.23	$1,762.50	$2,078.23
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 $1,278.21 / $1,626.59 / $2,237.79	Professional		$1,278.21	$1,626.59	$2,237.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,564.21 / $2,564.21 / $5,000.21	Professional		$2,564.21	$2,564.21	$5,000.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,477.51 / $2,171.85 / $3,762.51	Professional		$1,477.51	$2,171.85	$3,762.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,423.41 / $1,708.09 / $2,106.65	Professional		$1,423.41	$1,708.09	$2,106.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,655.86 / $2,000.25 / $2,926.25	Facility		$1,655.86	$2,000.25	$2,926.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,922.00 / $2,730.00 / $3,512.83	Professional		$1,922.00	$2,730.00	$3,512.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,423.67 / $2,060.09 / $7,008.00	Facility		$1,423.67	$2,060.09	$7,008.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,423.67 / $2,060.09 / $7,008.00	Professional		$1,423.67	$2,060.09	$7,008.00
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 $1,229.08 / $1,891.08 / $2,762.73	Professional		$1,229.08	$1,891.08	$2,762.73