Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,546.91 / $4,771.00 / $9,539.00	Facility		$1,546.91	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,302.38 / $1,546.91 / $2,828.60	Professional		$1,302.38	$1,546.91	$2,828.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,955.00 / $11,210.00 / $17,424.00	Facility		$8,955.00	$11,210.00	$17,424.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,220.41 / $1,553.80 / $2,165.69	Professional		$1,220.41	$1,553.80	$2,165.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,629.33 / $1,805.45 / $3,520.63	Professional		$1,629.33	$1,805.45	$3,520.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,354.16 / $1,750.96 / $3,105.96	Professional		$1,354.16	$1,750.96	$3,105.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,259.00 / $1,510.80 / $1,863.32	Professional		$1,259.00	$1,510.80	$1,863.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,519.56 / $1,905.11 / $2,722.39	Facility		$1,519.56	$1,905.11	$2,722.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,727.00 / $1,931.00 / $3,091.10	Professional		$1,727.00	$1,931.00	$3,091.10
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,267.00 / $1,743.30 / $4,462.00	Facility		$1,267.00	$1,743.30	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,267.00 / $1,743.30 / $4,462.00	Professional		$1,267.00	$1,743.30	$4,462.00
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 $1,202.48 / $1,762.10 / $2,982.49	Professional		$1,202.48	$1,762.10	$2,982.49