Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,464.59 / $4,771.00 / $9,539.00	Facility		$1,464.59	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,210.94 / $1,464.59 / $2,064.79	Professional		$1,210.94	$1,464.59	$2,064.79
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 $1,168.17 / $1,487.29 / $2,072.98	Professional		$1,168.17	$1,487.29	$2,072.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,564.08 / $1,662.98 / $3,242.81	Professional		$1,564.08	$1,662.98	$3,242.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,276.30 / $1,675.03 / $2,942.73	Professional		$1,276.30	$1,675.03	$2,942.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,201.45 / $1,441.74 / $1,778.15	Professional		$1,201.45	$1,441.74	$1,778.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,411.23 / $1,752.63 / $2,573.36	Facility		$1,411.23	$1,752.63	$2,573.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,628.00 / $1,823.00 / $2,954.90	Professional		$1,628.00	$1,823.00	$2,954.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,227.00 / $1,680.21 / $4,462.00	Facility		$1,227.00	$1,680.21	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,227.00 / $1,680.21 / $4,462.00	Professional		$1,227.00	$1,680.21	$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 $1,142.33 / $1,716.85 / $2,833.30	Professional		$1,142.33	$1,716.85	$2,833.30