Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,276.78 / $4,771.00 / $9,539.00	Facility		$1,276.78	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,021.03 / $1,276.78 / $1,608.00	Professional		$1,021.03	$1,276.78	$1,608.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,525.00 / $11,065.00 / $12,418.00	Facility		$8,525.00	$11,065.00	$12,418.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,041.53 / $1,331.88 / $1,826.67	Professional		$1,041.53	$1,331.88	$1,826.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $691.00 / $1,319.94 / $2,643.71	Professional		$691.00	$1,319.94	$2,643.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,087.72 / $1,508.92 / $2,862.90	Professional		$1,087.72	$1,508.92	$2,862.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,061.19 / $1,273.43 / $1,570.56	Professional		$1,061.19	$1,273.43	$1,570.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,239.71 / $1,514.89 / $2,245.51	Facility		$1,239.71	$1,514.89	$2,245.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,366.80 / $1,608.00 / $2,606.86	Professional		$1,366.80	$1,608.00	$2,606.86
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,092.23 / $1,452.40 / $2,752.88	Facility		$1,092.23	$1,452.40	$2,752.88
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,092.23 / $1,452.40 / $2,752.88	Professional		$1,092.23	$1,452.40	$2,752.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.00 / $3,295.00 / $5,790.00	Facility		$1,621.00	$3,295.00	$5,790.00
United Facility/Professional Professional Modifier Low / Median / High Price $932.24 / $1,408.48 / $2,488.11	Professional		$932.24	$1,408.48	$2,488.11