Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,473.59 / $4,771.00 / $9,539.00	Facility		$1,473.59	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,268.21 / $1,473.59 / $2,092.94	Professional		$1,268.21	$1,473.59	$2,092.94
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 $1,183.06 / $1,506.24 / $2,099.40	Professional		$1,183.06	$1,506.24	$2,099.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,423.05 / $1,625.14 / $3,169.02	Professional		$1,423.05	$1,625.14	$3,169.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,285.67 / $1,738.64 / $3,021.71	Professional		$1,285.67	$1,738.64	$3,021.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,211.35 / $1,453.63 / $1,792.81	Professional		$1,211.35	$1,453.63	$1,792.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,473.59 / $1,832.06 / $2,606.88	Facility		$1,473.59	$1,832.06	$2,606.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,620.00 / $1,874.00 / $2,980.54	Professional		$1,620.00	$1,874.00	$2,980.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,227.00 / $1,752.24 / $4,462.00	Facility		$1,227.00	$1,752.24	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,227.00 / $1,752.24 / $4,462.00	Professional		$1,227.00	$1,752.24	$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 $1,161.41 / $1,641.45 / $2,880.61	Professional		$1,161.41	$1,641.45	$2,880.61