Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,515.83 / $4,771.00 / $9,539.00	Facility		$1,515.83	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,255.74 / $1,515.83 / $2,116.61	Professional		$1,255.74	$1,515.83	$2,116.61
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 $1,178.50 / $1,500.44 / $2,091.31	Professional		$1,178.50	$1,500.44	$2,091.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,564.84 / $1,747.97 / $3,408.54	Professional		$1,564.84	$1,747.97	$3,408.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,313.41 / $1,770.52 / $3,028.01	Professional		$1,313.41	$1,770.52	$3,028.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,213.44 / $1,456.13 / $1,795.89	Professional		$1,213.44	$1,456.13	$1,795.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,485.65 / $1,838.28 / $2,687.48	Facility		$1,485.65	$1,838.28	$2,687.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,675.00 / $1,900.75 / $2,980.54	Professional		$1,675.00	$1,900.75	$2,980.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,278.85 / $1,736.00 / $4,462.00	Facility		$1,278.85	$1,736.00	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,278.85 / $1,736.00 / $4,462.00	Professional		$1,278.85	$1,736.00	$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 $1,166.45 / $1,788.56 / $2,748.51	Professional		$1,166.45	$1,788.56	$2,748.51