Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,507.72 / $4,771.00 / $9,539.00	Facility		$1,507.72	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,305.90 / $1,507.72 / $2,123.79	Professional		$1,305.90	$1,507.72	$2,123.79
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 $1,195.21 / $1,521.71 / $2,120.96	Professional		$1,195.21	$1,521.71	$2,120.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,450.79 / $1,614.53 / $3,148.33	Professional		$1,450.79	$1,614.53	$3,148.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,340.03 / $1,831.33 / $3,032.34	Professional		$1,340.03	$1,831.33	$3,032.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,227.09 / $1,472.52 / $1,816.11	Professional		$1,227.09	$1,472.52	$1,816.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,479.72 / $1,850.38 / $2,759.13	Facility		$1,479.72	$1,850.38	$2,759.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,758.00 / $1,968.00 / $3,020.78	Professional		$1,758.00	$1,968.00	$3,020.78
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,291.85 / $1,791.54 / $4,462.00	Facility		$1,291.85	$1,791.54	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,291.85 / $1,791.54 / $4,462.00	Professional		$1,291.85	$1,791.54	$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 $1,174.46 / $1,828.60 / $2,893.70	Professional		$1,174.46	$1,828.60	$2,893.70