Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,430.13 / $4,771.00 / $9,539.00	Facility		$1,430.13	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,229.99 / $1,430.13 / $2,642.70	Professional		$1,229.99	$1,430.13	$2,642.70
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 $1,151.16 / $1,465.63 / $2,042.80	Professional		$1,151.16	$1,465.63	$2,042.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,541.45 / $1,667.65 / $3,251.92	Professional		$1,541.45	$1,667.65	$3,251.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,256.48 / $1,698.68 / $2,898.76	Professional		$1,256.48	$1,698.68	$2,898.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,184.82 / $1,421.78 / $1,753.53	Professional		$1,184.82	$1,421.78	$1,753.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,405.70 / $1,770.17 / $2,564.10	Facility		$1,405.70	$1,770.17	$2,564.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,603.00 / $1,808.66 / $2,912.02	Professional		$1,603.00	$1,808.66	$2,912.02
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,241.60 / $1,703.18 / $4,462.00	Facility		$1,241.60	$1,703.18	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,241.60 / $1,703.18 / $4,462.00	Professional		$1,241.60	$1,703.18	$4,462.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.00 / $3,295.00 / $5,790.00	Facility		$1,621.00	$3,295.00	$5,790.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,125.33 / $1,758.24 / $2,766.21	Professional		$1,125.33	$1,758.24	$2,766.21