Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,557.97 / $4,771.00 / $9,539.00	Facility		$1,557.97	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,317.65 / $1,557.97 / $2,204.63	Professional		$1,317.65	$1,557.97	$2,204.63
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 $1,243.50 / $1,580.94 / $2,206.66	Professional		$1,243.50	$1,580.94	$2,206.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,569.39 / $1,611.29 / $3,142.02	Professional		$1,569.39	$1,611.29	$3,142.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,351.18 / $1,841.24 / $3,183.01	Professional		$1,351.18	$1,841.24	$3,183.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,272.48 / $1,526.98 / $1,883.27	Professional		$1,272.48	$1,526.98	$1,883.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,557.97 / $1,929.29 / $2,851.09	Facility		$1,557.97	$1,929.29	$2,851.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,757.00 / $2,010.00 / $3,132.46	Professional		$1,757.00	$2,010.00	$3,132.46
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,285.14 / $1,877.52 / $4,462.00	Facility		$1,285.14	$1,877.52	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,285.14 / $1,877.52 / $4,462.00	Professional		$1,285.14	$1,877.52	$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 $1,222.77 / $2,065.77 / $3,032.81	Professional		$1,222.77	$2,065.77	$3,032.81