Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,650.94 / $4,796.00 / $9,539.00	Facility		$1,650.94	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,371.64 / $1,650.94 / $2,294.05	Professional		$1,371.64	$1,650.94	$2,294.05
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 $1,293.92 / $1,647.39 / $2,296.13	Professional		$1,293.92	$1,647.39	$2,296.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,638.23 / $1,679.82 / $3,275.65	Professional		$1,638.23	$1,679.82	$3,275.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,433.57 / $1,951.11 / $3,313.16	Professional		$1,433.57	$1,951.11	$3,313.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,317.21 / $1,580.65 / $1,949.47	Professional		$1,317.21	$1,580.65	$1,949.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,631.51 / $2,019.97 / $2,986.29	Facility		$1,631.51	$2,019.97	$2,986.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,835.00 / $2,066.77 / $3,262.30	Professional		$1,835.00	$2,066.77	$3,262.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,403.33 / $1,932.39 / $4,462.00	Facility		$1,403.33	$1,932.39	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,403.33 / $1,932.39 / $4,462.00	Professional		$1,403.33	$1,932.39	$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 $1,276.59 / $1,962.42 / $3,007.33	Professional		$1,276.59	$1,962.42	$3,007.33