Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,625.47 / $4,796.00 / $9,539.00	Facility		$1,625.47	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,256.42 / $1,625.47 / $2,972.92	Professional		$1,256.42	$1,625.47	$2,972.92
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 $1,281.46 / $1,631.54 / $2,274.04	Professional		$1,281.46	$1,631.54	$2,274.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,632.08 / $1,647.36 / $3,212.35	Professional		$1,632.08	$1,647.36	$3,212.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,414.58 / $1,862.32 / $3,261.45	Professional		$1,414.58	$1,862.32	$3,261.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,320.55 / $1,584.66 / $1,954.41	Professional		$1,320.55	$1,584.66	$1,954.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,587.20 / $1,999.76 / $2,859.54	Facility		$1,587.20	$1,999.76	$2,859.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,738.00 / $1,953.00 / $3,244.92	Professional		$1,738.00	$1,953.00	$3,244.92
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,349.50 / $1,904.12 / $4,462.00	Facility		$1,349.50	$1,904.12	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,349.50 / $1,904.12 / $4,462.00	Professional		$1,349.50	$1,904.12	$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 $1,261.81 / $1,969.97 / $3,142.74	Professional		$1,261.81	$1,969.97	$3,142.74