Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,883.21 / $4,796.00 / $9,539.00	Facility		$1,883.21	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,561.85 / $1,883.21 / $3,420.75	Professional		$1,561.85	$1,883.21	$3,420.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,405.70 / $1,789.69 / $2,494.48	Professional		$1,405.70	$1,789.69	$2,494.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,772.83 / $1,880.19 / $3,666.37	Professional		$1,772.83	$1,880.19	$3,666.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,561.62 / $2,189.67 / $3,602.32	Professional		$1,561.62	$2,189.67	$3,602.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,437.66 / $1,725.19 / $2,127.73	Professional		$1,437.66	$1,725.19	$2,127.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,835.21 / $2,246.48 / $3,316.46	Facility		$1,835.21	$2,246.48	$3,316.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,085.00 / $2,347.62 / $3,539.86	Professional		$2,085.00	$2,347.62	$3,539.86
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,525.15 / $2,147.67 / $4,462.00	Facility		$1,525.15	$2,147.67	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,525.15 / $2,147.67 / $4,462.00	Professional		$1,525.15	$2,147.67	$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 $1,383.02 / $2,337.90 / $3,430.28	Professional		$1,383.02	$2,337.90	$3,430.28