Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,480.50 / $4,771.00 / $9,539.00	Facility		$1,480.50	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,246.84 / $1,480.50 / $2,124.32	Professional		$1,246.84	$1,480.50	$2,124.32
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 $1,201.89 / $1,530.21 / $2,132.81	Professional		$1,201.89	$1,530.21	$2,132.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,608.76 / $1,750.67 / $3,413.81	Professional		$1,608.76	$1,750.67	$3,413.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,311.57 / $1,788.90 / $3,029.12	Professional		$1,311.57	$1,788.90	$3,029.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,236.92 / $1,484.30 / $1,830.64	Professional		$1,236.92	$1,484.30	$1,830.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,468.24 / $1,851.00 / $2,709.32	Facility		$1,468.24	$1,851.00	$2,709.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,676.00 / $1,892.09 / $3,039.91	Professional		$1,676.00	$1,892.09	$3,039.91
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,296.55 / $1,779.82 / $4,462.00	Facility		$1,296.55	$1,779.82	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,296.55 / $1,779.82 / $4,462.00	Professional		$1,296.55	$1,779.82	$4,462.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,637.14 / $3,295.00 / $5,790.00	Facility		$1,637.14	$3,295.00	$5,790.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,175.54 / $1,802.49 / $2,749.51	Professional		$1,175.54	$1,802.49	$2,749.51