Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,765.31 / $4,796.00 / $9,539.00	Facility		$1,765.31	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,473.14 / $1,765.31 / $2,491.09	Professional		$1,473.14	$1,765.31	$2,491.09
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 $1,393.24 / $1,773.84 / $2,472.38	Professional		$1,393.24	$1,773.84	$2,472.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,647.67 / $1,772.38 / $3,212.96	Professional		$1,647.67	$1,772.38	$3,212.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,525.36 / $2,015.88 / $3,557.20	Professional		$1,525.36	$2,015.88	$3,557.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,435.90 / $1,723.08 / $2,125.13	Professional		$1,435.90	$1,723.08	$2,125.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,649.19 / $2,177.80 / $3,110.87	Facility		$1,649.19	$2,177.80	$3,110.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,926.00 / $2,205.00 / $3,527.04	Professional		$1,926.00	$2,205.00	$3,527.04
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,474.11 / $2,004.59 / $4,462.00	Facility		$1,474.11	$2,004.59	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,474.11 / $2,004.59 / $4,462.00	Professional		$1,474.11	$2,004.59	$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 $1,374.99 / $2,128.17 / $3,410.36	Professional		$1,374.99	$2,128.17	$3,410.36