Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,560.75 / $4,771.00 / $9,539.00	Facility		$1,560.75	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,292.95 / $1,560.75 / $2,879.32	Professional		$1,292.95	$1,560.75	$2,879.32
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 $1,241.36 / $1,580.49 / $2,202.88	Professional		$1,241.36	$1,580.49	$2,202.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,578.14 / $1,581.86 / $3,077.37	Professional		$1,578.14	$1,581.86	$3,077.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,361.62 / $1,794.45 / $3,138.91	Professional		$1,361.62	$1,794.45	$3,138.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,270.80 / $1,524.96 / $1,880.78	Professional		$1,270.80	$1,524.96	$1,880.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,529.90 / $1,915.47 / $2,748.47	Facility		$1,529.90	$1,915.47	$2,748.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,739.00 / $1,941.00 / $3,141.00	Professional		$1,739.00	$1,941.00	$3,141.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,287.42 / $1,789.12 / $4,462.00	Facility		$1,287.42	$1,789.12	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,287.42 / $1,789.12 / $4,462.00	Professional		$1,287.42	$1,789.12	$4,462.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,685.10 / $3,295.00 / $5,790.00	Facility		$1,685.10	$3,295.00	$5,790.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,214.57 / $1,829.86 / $2,849.16	Professional		$1,214.57	$1,829.86	$2,849.16