Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,509.87 / $4,771.00 / $9,539.00	Facility		$1,509.87	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,309.93 / $1,509.87 / $1,983.03	Professional		$1,309.93	$1,509.87	$1,983.03
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 $1,258.38 / $1,602.14 / $2,233.07	Professional		$1,258.38	$1,602.14	$2,233.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,682.31 / $1,803.89 / $3,517.59	Professional		$1,682.31	$1,803.89	$3,517.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,373.45 / $1,872.46 / $3,178.77	Professional		$1,373.45	$1,872.46	$3,178.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,293.44 / $1,552.13 / $1,914.29	Professional		$1,293.44	$1,552.13	$1,914.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,509.87 / $1,917.06 / $2,721.44	Facility		$1,509.87	$1,917.06	$2,721.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,758.00 / $1,966.00 / $3,181.49	Professional		$1,758.00	$1,966.00	$3,181.49
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,349.96 / $1,840.06 / $4,462.00	Facility		$1,349.96	$1,840.06	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,349.96 / $1,840.06 / $4,462.00	Professional		$1,349.96	$1,840.06	$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 $1,232.30 / $1,927.68 / $3,056.44	Professional		$1,232.30	$1,927.68	$3,056.44