Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,526.61 / $4,771.00 / $9,539.00	Facility		$1,526.61	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,271.68 / $1,526.61 / $2,158.92	Professional		$1,271.68	$1,526.61	$2,158.92
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 $1,221.32 / $1,552.75 / $2,167.31	Professional		$1,221.32	$1,552.75	$2,167.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,632.80 / $1,784.54 / $3,479.85	Professional		$1,632.80	$1,784.54	$3,479.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,332.49 / $1,747.87 / $3,070.82	Professional		$1,332.49	$1,747.87	$3,070.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,254.33 / $1,505.21 / $1,856.42	Professional		$1,254.33	$1,505.21	$1,856.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,502.18 / $1,815.24 / $2,579.96	Facility		$1,502.18	$1,815.24	$2,579.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,693.00 / $1,910.00 / $3,090.43	Professional		$1,693.00	$1,910.00	$3,090.43
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,316.39 / $1,753.57 / $4,462.00	Facility		$1,316.39	$1,753.57	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,316.39 / $1,753.57 / $4,462.00	Professional		$1,316.39	$1,753.57	$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 $1,189.58 / $1,760.26 / $2,950.50	Professional		$1,189.58	$1,760.26	$2,950.50