Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,561.13 / $4,771.00 / $9,539.00	Facility		$1,561.13	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,289.31 / $1,561.13 / $1,963.06	Professional		$1,289.31	$1,561.13	$1,963.06
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 $1,253.22 / $1,595.57 / $2,223.91	Professional		$1,253.22	$1,595.57	$2,223.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,572.24 / $1,598.76 / $3,065.87	Professional		$1,572.24	$1,598.76	$3,065.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,358.88 / $1,812.21 / $3,158.77	Professional		$1,358.88	$1,812.21	$3,158.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,279.13 / $1,534.96 / $1,893.11	Professional		$1,279.13	$1,534.96	$1,893.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,523.70 / $1,915.93 / $2,755.16	Facility		$1,523.70	$1,915.93	$2,755.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,738.00 / $1,940.00 / $3,169.22	Professional		$1,738.00	$1,940.00	$3,169.22
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,291.48 / $1,785.22 / $4,462.00	Facility		$1,291.48	$1,785.22	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,291.48 / $1,785.22 / $4,462.00	Professional		$1,291.48	$1,785.22	$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 $1,223.54 / $1,762.46 / $3,043.82	Professional		$1,223.54	$1,762.46	$3,043.82