Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,498.52 / $4,402.55 / $10,767.00	Facility		$1,498.52	$4,402.55	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,238.19 / $1,498.52 / $2,112.73	Professional		$1,238.19	$1,498.52	$2,112.73
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 $1,196.72 / $1,523.64 / $2,123.65	Professional		$1,196.72	$1,523.64	$2,123.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,603.51 / $1,665.68 / $3,248.08	Professional		$1,603.51	$1,665.68	$3,248.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,300.56 / $1,717.18 / $3,011.26	Professional		$1,300.56	$1,717.18	$3,011.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,232.64 / $1,479.17 / $1,824.31	Professional		$1,232.64	$1,479.17	$1,824.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,424.28 / $1,839.09 / $2,714.55	Facility		$1,424.28	$1,839.09	$2,714.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,666.00 / $1,867.00 / $3,027.96	Professional		$1,666.00	$1,867.00	$3,027.96
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,241.22 / $1,743.55 / $4,462.00	Facility		$1,241.22	$1,743.55	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,241.22 / $1,743.55 / $4,462.00	Professional		$1,241.22	$1,743.55	$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 $1,169.75 / $1,757.98 / $2,901.31	Professional		$1,169.75	$1,757.98	$2,901.31