Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,488.35 / $4,771.00 / $9,539.00	Facility		$1,488.35	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.59 / $1,488.35 / $1,867.24	Professional		$1,230.59	$1,488.35	$1,867.24
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 $1,186.70 / $1,510.88 / $2,105.86	Professional		$1,186.70	$1,510.88	$2,105.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,444.22 / $1,546.72 / $3,016.10	Professional		$1,444.22	$1,546.72	$3,016.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,282.04 / $1,741.09 / $2,990.62	Professional		$1,282.04	$1,741.09	$2,990.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,220.84 / $1,465.02 / $1,806.86	Professional		$1,220.84	$1,465.02	$1,806.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,409.61 / $1,783.68 / $2,546.37	Facility		$1,409.61	$1,783.68	$2,546.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,654.00 / $1,852.00 / $3,001.58	Professional		$1,654.00	$1,852.00	$3,001.58
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,255.61 / $1,736.00 / $4,462.00	Facility		$1,255.61	$1,736.00	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,255.61 / $1,736.00 / $4,462.00	Professional		$1,255.61	$1,736.00	$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 $1,160.77 / $1,792.52 / $2,879.03	Professional		$1,160.77	$1,792.52	$2,879.03