Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,832.88 / $4,796.00 / $9,539.00	Facility		$1,832.88	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,547.53 / $1,832.88 / $2,578.36	Professional		$1,547.53	$1,832.88	$2,578.36
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 $1,453.38 / $1,850.42 / $2,579.11	Professional		$1,453.38	$1,850.42	$2,579.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,833.07 / $1,972.33 / $3,846.04	Professional		$1,833.07	$1,972.33	$3,846.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,614.18 / $2,166.13 / $3,723.89	Professional		$1,614.18	$2,166.13	$3,723.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,486.07 / $1,783.28 / $2,199.38	Professional		$1,486.07	$1,783.28	$2,199.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,828.61 / $2,257.83 / $3,354.17	Facility		$1,828.61	$2,257.83	$3,354.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,066.00 / $2,351.00 / $3,660.05	Professional		$2,066.00	$2,351.00	$3,660.05
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,565.72 / $2,139.23 / $4,462.00	Facility		$1,565.72	$2,139.23	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,565.72 / $2,139.23 / $4,462.00	Professional		$1,565.72	$2,139.23	$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 $1,429.74 / $2,314.01 / $3,546.16	Professional		$1,429.74	$2,314.01	$3,546.16