Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,716.48 / $4,796.00 / $9,539.00	Facility		$1,716.48	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,472.80 / $1,716.48 / $1,915.08	Professional		$1,472.80	$1,716.48	$1,915.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,604.05 / $10,127.70 / $14,105.84	Facility		$6,604.05	$10,127.70	$14,105.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,378.04 / $1,762.21 / $2,416.87	Professional		$1,378.04	$1,762.21	$2,416.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,732.34 / $2,016.07 / $3,510.12	Professional		$1,732.34	$2,016.07	$3,510.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,516.18 / $2,028.57 / $3,762.33	Professional		$1,516.18	$2,028.57	$3,762.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,427.27 / $1,712.72 / $2,112.36	Professional		$1,427.27	$1,712.72	$2,112.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,678.31 / $2,106.58 / $3,093.50	Facility		$1,678.31	$2,106.58	$3,093.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,902.00 / $2,155.00 / $3,502.54	Professional		$1,902.00	$2,155.00	$3,502.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,479.14 / $2,009.82 / $3,625.75	Facility		$1,479.14	$2,009.82	$3,625.75
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,479.14 / $2,009.82 / $3,625.75	Professional		$1,479.14	$2,009.82	$3,625.75
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 $1,317.35 / $2,082.41 / $3,326.06	Professional		$1,317.35	$2,082.41	$3,326.06