Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,641.26 / $4,796.00 / $9,539.00	Facility		$1,641.26	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,364.00 / $1,641.26 / $3,226.00	Professional		$1,364.00	$1,641.26	$3,226.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,955.00 / $11,210.00 / $17,424.00	Facility		$8,955.00	$11,210.00	$17,424.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,311.53 / $1,669.81 / $2,327.39	Professional		$1,311.53	$1,669.81	$2,327.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,642.72 / $1,674.37 / $3,203.30	Professional		$1,642.72	$1,674.37	$3,203.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,432.17 / $1,943.68 / $3,308.69	Professional		$1,432.17	$1,943.68	$3,308.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.18 / $1,617.82 / $1,995.31	Professional		$1,348.18	$1,617.82	$1,995.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,584.93 / $2,022.66 / $3,003.51	Facility		$1,584.93	$2,022.66	$3,003.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,831.00 / $2,066.52 / $3,316.49	Professional		$1,831.00	$2,066.52	$3,316.49
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,415.30 / $1,944.18 / $4,462.00	Facility		$1,415.30	$1,944.18	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,415.30 / $1,944.18 / $4,462.00	Professional		$1,415.30	$1,944.18	$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 $1,282.94 / $2,060.23 / $3,188.27	Professional		$1,282.94	$2,060.23	$3,188.27