Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,649.69 / $4,796.00 / $9,539.00	Facility		$1,649.69	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,366.96 / $1,649.69 / $2,321.51	Professional		$1,366.96	$1,649.69	$2,321.51
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 $1,302.11 / $1,657.83 / $2,310.67	Professional		$1,302.11	$1,657.83	$2,310.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,651.18 / $1,659.18 / $3,219.80	Professional		$1,651.18	$1,659.18	$3,219.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,408.18 / $1,898.38 / $3,311.02	Professional		$1,408.18	$1,898.38	$3,311.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,342.45 / $1,610.94 / $1,986.83	Professional		$1,342.45	$1,610.94	$1,986.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,595.80 / $2,029.91 / $2,902.24	Facility		$1,595.80	$2,029.91	$2,902.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,838.00 / $2,052.00 / $3,297.65	Professional		$1,838.00	$2,052.00	$3,297.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,393.91 / $1,890.71 / $4,462.00	Facility		$1,393.91	$1,890.71	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,393.91 / $1,890.71 / $4,462.00	Professional		$1,393.91	$1,890.71	$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 $1,281.56 / $1,987.40 / $3,190.53	Professional		$1,281.56	$1,987.40	$3,190.53