Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,685.68 / $4,796.00 / $9,539.00	Facility		$1,685.68	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,496.11 / $1,685.68 / $2,381.82	Professional		$1,496.11	$1,685.68	$2,381.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,312.32 / $2,001.45 / $5,768.00	Facility		$1,312.32	$2,001.45	$5,768.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,343.43 / $1,710.42 / $2,383.98	Professional		$1,343.43	$1,710.42	$2,383.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,695.00 / $1,754.43 / $3,421.14	Professional		$1,695.00	$1,754.43	$3,421.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,458.50 / $1,992.16 / $3,438.54	Professional		$1,458.50	$1,992.16	$3,438.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,372.96 / $1,647.55 / $2,031.98	Professional		$1,372.96	$1,647.55	$2,031.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,685.68 / $2,084.67 / $3,084.79	Facility		$1,685.68	$2,084.67	$3,084.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,009.00 / $2,232.00 / $3,383.26	Professional		$2,009.00	$2,232.00	$3,383.26
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,387.43 / $2,020.55 / $4,462.00	Facility		$1,387.43	$2,020.55	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,387.43 / $2,020.55 / $4,462.00	Professional		$1,387.43	$2,020.55	$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 $1,320.56 / $2,177.17 / $3,275.35	Professional		$1,320.56	$2,177.17	$3,275.35