Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,355.88 / $4,771.00 / $9,539.00	Facility		$1,355.88	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,120.11 / $1,355.88 / $1,701.18	Professional		$1,120.11	$1,355.88	$1,701.18
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 $1,083.11 / $1,379.01 / $1,922.07	Professional		$1,083.11	$1,379.01	$1,922.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,355.94 / $1,385.40 / $2,644.08	Professional		$1,355.94	$1,385.40	$2,644.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,184.29 / $1,593.45 / $2,725.31	Professional		$1,184.29	$1,593.45	$2,725.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,114.83 / $1,337.80 / $1,649.95	Professional		$1,114.83	$1,337.80	$1,649.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,302.86 / $1,620.35 / $2,380.75	Facility		$1,302.86	$1,620.35	$2,380.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,507.00 / $1,689.00 / $2,740.56	Professional		$1,507.00	$1,689.00	$2,740.56
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,168.57 / $1,601.68 / $4,462.00	Facility		$1,168.57	$1,601.68	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,168.57 / $1,601.68 / $4,462.00	Professional		$1,168.57	$1,601.68	$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 $1,058.72 / $1,638.52 / $2,625.91	Professional		$1,058.72	$1,638.52	$2,625.91