Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,694.25 / $4,796.00 / $9,539.00	Facility		$1,694.25	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,459.17 / $1,694.25 / $1,830.47	Professional		$1,459.17	$1,694.25	$1,830.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.16 / $1,805.84 / $2,476.69	Professional		$1,412.16	$1,805.84	$2,476.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,803.72 / $2,155.83 / $3,753.46	Professional		$1,803.72	$2,155.83	$3,753.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,447.23 / $1,736.68 / $2,141.90	Professional		$1,447.23	$1,736.68	$2,141.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,686.27 / $2,005.22 / $2,863.28	Facility		$1,686.27	$2,005.22	$2,863.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,783.69 / $2,119.00 / $3,012.40	Professional		$1,783.69	$2,119.00	$3,012.40
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,416.79 / $1,915.92 / $3,658.00	Facility		$1,416.79	$1,915.92	$3,658.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,416.79 / $1,915.92 / $3,658.00	Professional		$1,416.79	$1,915.92	$3,658.00
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 $1,262.27 / $1,906.22 / $3,310.17	Professional		$1,262.27	$1,906.22	$3,310.17