Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,882.91 / $4,796.00 / $9,539.00	Facility		$1,882.91	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,671.99 / $1,882.91 / $2,811.04	Professional		$1,671.99	$1,882.91	$2,811.04
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 $1,494.08 / $1,902.23 / $2,651.34	Professional		$1,494.08	$1,902.23	$2,651.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,884.21 / $1,935.71 / $3,774.63	Professional		$1,884.21	$1,935.71	$3,774.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,622.40 / $2,225.26 / $4,038.59	Professional		$1,622.40	$2,225.26	$4,038.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,527.26 / $1,832.71 / $2,260.34	Professional		$1,527.26	$1,832.71	$2,260.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,882.91 / $2,321.44 / $3,383.57	Facility		$1,882.91	$2,321.44	$3,383.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,215.00 / $2,487.00 / $3,762.36	Professional		$2,215.00	$2,487.00	$3,762.36
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,542.17 / $2,275.65 / $4,462.00	Facility		$1,542.17	$2,275.65	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,542.17 / $2,275.65 / $4,462.00	Professional		$1,542.17	$2,275.65	$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 $1,556.51 / $2,324.01 / $3,794.45	Professional		$1,556.51	$2,324.01	$3,794.45