Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,594.68 / $4,771.00 / $9,539.00	Facility		$1,594.68	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,375.36 / $1,594.68 / $1,773.33	Professional		$1,375.36	$1,594.68	$1,773.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,385.00 / $9,527.62 / $13,270.04	Facility		$6,385.00	$9,527.62	$13,270.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,237.90 / $1,583.00 / $2,171.08	Professional		$1,237.90	$1,583.00	$2,171.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,560.88 / $1,936.52 / $3,371.63	Professional		$1,560.88	$1,936.52	$3,371.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,386.12 / $1,853.08 / $3,582.54	Professional		$1,386.12	$1,853.08	$3,582.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,362.63 / $1,635.16 / $2,016.69	Professional		$1,362.63	$1,635.16	$2,016.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,575.14 / $1,893.69 / $2,808.64	Facility		$1,575.14	$1,893.69	$2,808.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,714.00 / $1,976.00 / $3,092.98	Professional		$1,714.00	$1,976.00	$3,092.98
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,379.06 / $1,801.86 / $3,409.04	Facility		$1,379.06	$1,801.86	$3,409.04
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,379.06 / $1,801.86 / $3,409.04	Professional		$1,379.06	$1,801.86	$3,409.04
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 $1,166.57 / $1,735.64 / $3,182.17	Professional		$1,166.57	$1,735.64	$3,182.17