Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,707.66 / $4,796.00 / $9,539.00	Facility		$1,707.66	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.30 / $1,707.66 / $2,400.86	Professional		$1,445.30	$1,707.66	$2,400.86
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 $1,354.67 / $1,724.73 / $2,403.92	Professional		$1,354.67	$1,724.73	$2,403.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,709.14 / $1,815.82 / $3,540.85	Professional		$1,709.14	$1,815.82	$3,540.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,504.23 / $2,018.14 / $3,468.28	Professional		$1,504.23	$2,018.14	$3,468.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,384.61 / $1,661.53 / $2,049.21	Professional		$1,384.61	$1,661.53	$2,049.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,707.66 / $2,102.38 / $3,125.02	Facility		$1,707.66	$2,102.38	$3,125.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,926.00 / $2,189.00 / $3,411.46	Professional		$1,926.00	$2,189.00	$3,411.46
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,458.67 / $2,048.62 / $4,462.00	Facility		$1,458.67	$2,048.62	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,458.67 / $2,048.62 / $4,462.00	Professional		$1,458.67	$2,048.62	$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 $1,332.01 / $2,183.26 / $3,342.06	Professional		$1,332.01	$2,183.26	$3,342.06