Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,427.83 / $4,771.00 / $9,539.00	Facility		$1,427.83	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,235.10 / $1,427.83 / $2,012.69	Professional		$1,235.10	$1,427.83	$2,012.69
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 $1,132.94 / $1,442.43 / $2,010.46	Professional		$1,132.94	$1,442.43	$2,010.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,375.78 / $1,602.36 / $3,124.60	Professional		$1,375.78	$1,602.36	$3,124.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,272.91 / $1,687.44 / $2,870.78	Professional		$1,272.91	$1,687.44	$2,870.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,163.51 / $1,396.21 / $1,721.99	Professional		$1,163.51	$1,396.21	$1,721.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,427.83 / $1,752.34 / $2,607.59	Facility		$1,427.83	$1,752.34	$2,607.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,662.00 / $1,825.61 / $2,863.73	Professional		$1,662.00	$1,825.61	$2,863.73
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,224.11 / $1,705.24 / $4,462.00	Facility		$1,224.11	$1,705.24	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,224.11 / $1,705.24 / $4,462.00	Professional		$1,224.11	$1,705.24	$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 $1,112.17 / $1,714.61 / $2,605.79	Professional		$1,112.17	$1,714.61	$2,605.79