Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,417.20 / $4,771.00 / $9,539.00	Facility		$1,417.20	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,181.92 / $1,417.20 / $1,998.12	Professional		$1,181.92	$1,417.20	$1,998.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,126.63 / $1,440.50 / $2,007.77	Professional		$1,126.63	$1,440.50	$2,007.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,429.92 / $1,437.44 / $2,788.34	Professional		$1,429.92	$1,437.44	$2,788.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,225.70 / $1,665.54 / $2,876.84	Professional		$1,225.70	$1,665.54	$2,876.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,079.68 / $1,295.61 / $1,597.93	Professional		$1,079.68	$1,295.61	$1,597.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,388.80 / $1,739.29 / $2,520.91	Facility		$1,388.80	$1,739.29	$2,520.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,574.00 / $1,786.50 / $2,855.21	Professional		$1,574.00	$1,786.50	$2,855.21
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,227.00 / $1,641.33 / $4,462.00	Facility		$1,227.00	$1,641.33	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,227.00 / $1,641.33 / $4,462.00	Professional		$1,227.00	$1,641.33	$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 $1,111.83 / $1,778.10 / $2,772.14	Professional		$1,111.83	$1,778.10	$2,772.14