Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.94 / $4,771.00 / $9,539.00	Facility		$1,301.94	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,078.05 / $1,301.94 / $2,396.05	Professional		$1,078.05	$1,301.94	$2,396.05
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 $1,033.01 / $1,315.20 / $1,833.13	Professional		$1,033.01	$1,315.20	$1,833.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,379.62 / $1,530.09 / $2,983.68	Professional		$1,379.62	$1,530.09	$2,983.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,126.85 / $1,566.55 / $2,617.79	Professional		$1,126.85	$1,566.55	$2,617.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,060.77 / $1,272.92 / $1,569.94	Professional		$1,060.77	$1,272.92	$1,569.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,267.69 / $1,597.83 / $2,367.69	Facility		$1,267.69	$1,597.83	$2,367.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,445.00 / $1,632.11 / $2,611.13	Professional		$1,445.00	$1,632.11	$2,611.13
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,160.41 / $1,553.58 / $4,462.00	Facility		$1,160.41	$1,553.58	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,160.41 / $1,553.58 / $4,462.00	Professional		$1,160.41	$1,553.58	$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 $1,013.99 / $1,623.56 / $2,514.96	Professional		$1,013.99	$1,623.56	$2,514.96