Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,798.28 / $4,796.00 / $9,539.00	Facility		$1,798.28	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,500.58 / $1,798.28 / $2,178.46	Professional		$1,500.58	$1,798.28	$2,178.46
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 $1,211.30 / $1,542.20 / $2,149.52	Professional		$1,211.30	$1,542.20	$2,149.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,606.97 / $1,797.42 / $3,504.97	Professional		$1,606.97	$1,797.42	$3,504.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,352.87 / $2,030.88 / $3,119.47	Professional		$1,352.87	$2,030.88	$3,119.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,245.23 / $1,494.28 / $1,842.94	Professional		$1,245.23	$1,494.28	$1,842.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,528.54 / $2,032.06 / $2,937.74	Facility		$1,528.54	$2,032.06	$2,937.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,841.00 / $2,232.46 / $3,372.80	Professional		$1,841.00	$2,232.46	$3,372.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,422.28 / $2,013.23 / $4,462.00	Facility		$1,422.28	$2,013.23	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,422.28 / $2,013.23 / $4,462.00	Professional		$1,422.28	$2,013.23	$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 $1,239.54 / $2,153.42 / $3,005.94	Professional		$1,239.54	$2,153.42	$3,005.94