Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,550.74 / $4,771.00 / $9,539.00	Facility		$1,550.74	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,193.66 / $1,550.74 / $2,194.60	Professional		$1,193.66	$1,550.74	$2,194.60
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 $1,225.28 / $1,559.99 / $2,174.32	Professional		$1,225.28	$1,559.99	$2,174.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,548.51 / $1,558.12 / $3,019.59	Professional		$1,548.51	$1,558.12	$3,019.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,341.49 / $1,706.12 / $3,132.43	Professional		$1,341.49	$1,706.12	$3,132.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,262.82 / $1,515.38 / $1,868.97	Professional		$1,262.82	$1,515.38	$1,868.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,491.01 / $1,865.61 / $2,620.75	Facility		$1,491.01	$1,865.61	$2,620.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,592.00 / $1,812.00 / $3,101.69	Professional		$1,592.00	$1,812.00	$3,101.69
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,271.29 / $1,698.98 / $4,462.00	Facility		$1,271.29	$1,698.98	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,271.29 / $1,698.98 / $4,462.00	Professional		$1,271.29	$1,698.98	$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 $1,210.30 / $1,679.65 / $2,843.28	Professional		$1,210.30	$1,679.65	$2,843.28