Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,381.59 / $4,771.00 / $9,539.00	Facility		$1,381.59	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,197.92 / $1,381.59 / $1,535.63	Professional		$1,197.92	$1,381.59	$1,535.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,121.73 / $1,434.45 / $1,967.34	Professional		$1,121.73	$1,434.45	$1,967.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,415.58 / $1,633.90 / $2,844.74	Professional		$1,415.58	$1,633.90	$2,844.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,198.11 / $1,632.79 / $3,108.13	Professional		$1,198.11	$1,632.79	$3,108.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,140.60 / $1,368.73 / $1,688.10	Professional		$1,140.60	$1,368.73	$1,688.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,381.59 / $1,645.55 / $2,430.54	Facility		$1,381.59	$1,645.55	$2,430.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,546.00 / $1,745.00 / $2,803.78	Professional		$1,546.00	$1,745.00	$2,803.78
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,234.39 / $1,602.52 / $2,960.18	Facility		$1,234.39	$1,602.52	$2,960.18
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,234.39 / $1,602.52 / $2,960.18	Professional		$1,234.39	$1,602.52	$2,960.18
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 $1,012.09 / $1,637.89 / $2,690.79	Professional		$1,012.09	$1,637.89	$2,690.79