Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.65 / $4,771.00 / $9,539.00	Facility		$1,584.65	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,340.93 / $1,584.65 / $2,228.46	Professional		$1,340.93	$1,584.65	$2,228.46
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 $1,254.74 / $1,597.50 / $2,226.60	Professional		$1,254.74	$1,597.50	$2,226.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,507.32 / $1,713.53 / $3,341.38	Professional		$1,507.32	$1,713.53	$3,341.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,315.54 / $1,790.86 / $3,219.78	Professional		$1,315.54	$1,790.86	$3,219.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,283.45 / $1,540.14 / $1,899.51	Professional		$1,283.45	$1,540.14	$1,899.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,584.65 / $1,893.05 / $2,794.11	Facility		$1,584.65	$1,893.05	$2,794.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,718.00 / $1,976.00 / $3,160.15	Professional		$1,718.00	$1,976.00	$3,160.15
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,295.36 / $1,860.93 / $4,462.00	Facility		$1,295.36	$1,860.93	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,295.36 / $1,860.93 / $4,462.00	Professional		$1,295.36	$1,860.93	$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 $1,237.76 / $1,747.52 / $3,066.74	Professional		$1,237.76	$1,747.52	$3,066.74