Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,602.69 / $4,796.00 / $9,539.00	Facility		$1,602.69	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,532.19 / $1,602.69 / $2,265.46	Professional		$1,532.19	$1,602.69	$2,265.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,480.37 / $9,394.00 / $12,872.86	Facility		$6,480.37	$9,394.00	$12,872.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,278.11 / $1,627.28 / $2,268.10	Professional		$1,278.11	$1,627.28	$2,268.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,612.63 / $1,713.11 / $3,340.56	Professional		$1,612.63	$1,713.11	$3,340.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,388.25 / $1,894.09 / $3,270.79	Professional		$1,388.25	$1,894.09	$3,270.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,306.83 / $1,568.20 / $1,934.11	Professional		$1,306.83	$1,568.20	$1,934.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,602.69 / $1,978.68 / $2,829.59	Facility		$1,602.69	$1,978.68	$2,829.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,922.00 / $2,199.00 / $3,218.93	Professional		$1,922.00	$2,199.00	$3,218.93
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,319.43 / $1,929.33 / $4,462.00	Facility		$1,319.43	$1,929.33	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,319.43 / $1,929.33 / $4,462.00	Professional		$1,319.43	$1,929.33	$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 $1,256.08 / $2,037.89 / $3,097.02	Professional		$1,256.08	$2,037.89	$3,097.02