Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,438.44 / $4,771.00 / $9,539.00	Facility		$1,438.44	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,239.21 / $1,438.44 / $2,782.05	Professional		$1,239.21	$1,438.44	$2,782.05
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 $1,145.69 / $1,458.68 / $2,033.11	Professional		$1,145.69	$1,458.68	$2,033.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,532.93 / $1,693.97 / $3,303.24	Professional		$1,532.93	$1,693.97	$3,303.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,251.42 / $1,723.72 / $2,890.73	Professional		$1,251.42	$1,723.72	$2,890.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,178.86 / $1,414.64 / $1,744.73	Professional		$1,178.86	$1,414.64	$1,744.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,401.30 / $1,765.35 / $2,558.82	Facility		$1,401.30	$1,765.35	$2,558.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,671.00 / $1,830.00 / $2,897.50	Professional		$1,671.00	$1,830.00	$2,897.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,236.45 / $1,710.53 / $4,462.00	Facility		$1,236.45	$1,710.53	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,236.45 / $1,710.53 / $4,462.00	Professional		$1,236.45	$1,710.53	$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 $1,121.47 / $1,793.08 / $2,785.52	Professional		$1,121.47	$1,793.08	$2,785.52