Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.06 / $4,796.00 / $9,539.00	Facility		$1,862.06	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,642.98 / $1,862.06 / $2,449.75	Professional		$1,642.98	$1,862.06	$2,449.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,480.37 / $9,394.00 / $12,872.86	Facility		$6,480.37	$9,394.00	$12,872.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,474.64 / $1,877.49 / $2,616.84	Professional		$1,474.64	$1,877.49	$2,616.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,948.44 / $2,005.63 / $3,910.98	Professional		$1,948.44	$2,005.63	$3,910.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,638.08 / $2,200.61 / $3,781.12	Professional		$1,638.08	$2,200.61	$3,781.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,508.06 / $1,809.67 / $2,231.92	Professional		$1,508.06	$1,809.67	$2,231.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,862.06 / $2,278.21 / $3,146.88	Facility		$1,862.06	$2,278.21	$3,146.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,174.00 / $2,441.00 / $3,713.57	Professional		$2,174.00	$2,441.00	$3,713.57
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,588.42 / $2,221.96 / $4,462.00	Facility		$1,588.42	$2,221.96	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,588.42 / $2,221.96 / $4,462.00	Professional		$1,588.42	$2,221.96	$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 $1,451.81 / $2,299.58 / $3,608.23	Professional		$1,451.81	$2,299.58	$3,608.23