Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,322.38 / $4,771.00 / $9,539.00	Facility		$1,322.38	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,086.45 / $1,322.38 / $1,860.60	Professional		$1,086.45	$1,322.38	$1,860.60
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 $1,045.46 / $1,331.06 / $1,855.24	Professional		$1,045.46	$1,331.06	$1,855.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,397.66 / $1,516.32 / $2,956.82	Professional		$1,397.66	$1,516.32	$2,956.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,147.57 / $1,511.23 / $2,654.68	Professional		$1,147.57	$1,511.23	$2,654.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,080.27 / $1,296.32 / $1,598.80	Professional		$1,080.27	$1,296.32	$1,598.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,267.50 / $1,628.67 / $2,325.76	Facility		$1,267.50	$1,628.67	$2,325.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,479.00 / $1,650.00 / $2,649.46	Professional		$1,479.00	$1,650.00	$2,649.46
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,133.77 / $1,556.09 / $4,462.00	Facility		$1,133.77	$1,556.09	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,133.77 / $1,556.09 / $4,462.00	Professional		$1,133.77	$1,556.09	$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 $1,028.95 / $1,569.32 / $2,552.08	Professional		$1,028.95	$1,569.32	$2,552.08