Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.62 / $4,796.00 / $9,539.00	Facility		$1,758.62	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,460.88 / $1,758.62 / $2,480.21	Professional		$1,460.88	$1,758.62	$2,480.21
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 $1,383.22 / $1,761.08 / $2,454.60	Professional		$1,383.22	$1,761.08	$2,454.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,756.82 / $1,766.55 / $3,444.77	Professional		$1,756.82	$1,766.55	$3,444.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,524.62 / $2,053.61 / $3,544.25	Professional		$1,524.62	$2,053.61	$3,544.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,423.43 / $1,708.12 / $2,106.67	Professional		$1,423.43	$1,708.12	$2,106.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,708.45 / $2,161.44 / $3,076.75	Facility		$1,708.45	$2,161.44	$3,076.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,964.00 / $2,195.00 / $3,499.99	Professional		$1,964.00	$2,195.00	$3,499.99
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,500.97 / $1,975.99 / $4,462.00	Facility		$1,500.97	$1,975.99	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,500.97 / $1,975.99 / $4,462.00	Professional		$1,500.97	$1,975.99	$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 $1,368.10 / $2,157.17 / $3,393.26	Professional		$1,368.10	$2,157.17	$3,393.26