Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.99 / $4,771.00 / $9,539.00	Facility		$1,400.99	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,219.57 / $1,400.99 / $2,746.47	Professional		$1,219.57	$1,400.99	$2,746.47
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 $1,115.61 / $1,420.39 / $1,979.74	Professional		$1,115.61	$1,420.39	$1,979.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,493.03 / $1,650.55 / $3,218.57	Professional		$1,493.03	$1,650.55	$3,218.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,217.85 / $1,652.94 / $2,813.90	Professional		$1,217.85	$1,652.94	$2,813.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.25 / $1,377.90 / $1,699.41	Professional		$1,148.25	$1,377.90	$1,699.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,363.89 / $1,664.03 / $2,461.37	Facility		$1,363.89	$1,664.03	$2,461.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,626.00 / $1,782.00 / $2,821.87	Professional		$1,626.00	$1,782.00	$2,821.87
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,204.53 / $1,665.36 / $4,462.00	Facility		$1,204.53	$1,665.36	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,204.53 / $1,665.36 / $4,462.00	Professional		$1,204.53	$1,665.36	$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 $1,091.82 / $1,707.16 / $2,440.08	Professional		$1,091.82	$1,707.16	$2,440.08