Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,556.87 / $4,771.00 / $9,539.00	Facility		$1,556.87	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,300.43 / $1,556.87 / $2,212.46	Professional		$1,300.43	$1,556.87	$2,212.46
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 $1,249.86 / $1,591.32 / $2,217.98	Professional		$1,249.86	$1,591.32	$2,217.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,595.10 / $1,673.99 / $3,264.28	Professional		$1,595.10	$1,673.99	$3,264.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,364.15 / $1,843.29 / $3,156.77	Professional		$1,364.15	$1,843.29	$3,156.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,284.15 / $1,540.98 / $1,900.54	Professional		$1,284.15	$1,540.98	$1,900.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,531.21 / $1,927.49 / $2,753.11	Facility		$1,531.21	$1,927.49	$2,753.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,745.00 / $1,952.00 / $3,159.94	Professional		$1,745.00	$1,952.00	$3,159.94
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,347.00 / $1,851.27 / $4,462.00	Facility		$1,347.00	$1,851.27	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,347.00 / $1,851.27 / $4,462.00	Professional		$1,347.00	$1,851.27	$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 $1,223.86 / $1,923.15 / $2,865.37	Professional		$1,223.86	$1,923.15	$2,865.37