Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.17 / $4,771.00 / $9,539.00	Facility		$1,486.17	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.40 / $1,486.17 / $2,095.66	Professional		$1,258.40	$1,486.17	$2,095.66
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 $1,182.75 / $1,505.85 / $2,098.86	Professional		$1,182.75	$1,505.85	$2,098.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,492.85 / $1,507.10 / $2,938.84	Professional		$1,492.85	$1,507.10	$2,938.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,310.54 / $1,778.17 / $3,026.10	Professional		$1,310.54	$1,778.17	$3,026.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,209.83 / $1,451.80 / $1,790.55	Professional		$1,209.83	$1,451.80	$1,790.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,464.89 / $1,834.99 / $2,719.69	Facility		$1,464.89	$1,834.99	$2,719.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,674.00 / $1,911.00 / $2,979.10	Professional		$1,674.00	$1,911.00	$2,979.10
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,274.34 / $1,828.09 / $4,462.00	Facility		$1,274.34	$1,828.09	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,274.34 / $1,828.09 / $4,462.00	Professional		$1,274.34	$1,828.09	$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 $1,162.60 / $1,851.13 / $2,615.04	Professional		$1,162.60	$1,851.13	$2,615.04