Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,428.65 / $4,771.00 / $9,539.00	Facility		$1,428.65	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,210.77 / $1,428.65 / $1,808.03	Professional		$1,210.77	$1,428.65	$1,808.03
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 $1,132.94 / $1,442.43 / $2,010.46	Professional		$1,132.94	$1,442.43	$2,010.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,361.15 / $1,620.98 / $3,160.91	Professional		$1,361.15	$1,620.98	$3,160.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,259.77 / $1,688.40 / $2,902.23	Professional		$1,259.77	$1,688.40	$2,902.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,159.42 / $1,391.30 / $1,715.94	Professional		$1,159.42	$1,391.30	$1,715.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,428.65 / $1,759.97 / $2,568.00	Facility		$1,428.65	$1,759.97	$2,568.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,613.00 / $1,803.00 / $2,853.38	Professional		$1,613.00	$1,803.00	$2,853.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,220.45 / $1,677.36 / $4,462.00	Facility		$1,220.45	$1,677.36	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,220.45 / $1,677.36 / $4,462.00	Professional		$1,220.45	$1,677.36	$4,462.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.00 / $3,295.00 / $5,790.00	Facility		$1,621.00	$3,295.00	$5,790.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,114.43 / $1,662.45 / $2,764.10	Professional		$1,114.43	$1,662.45	$2,764.10