Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,377.66 / $4,771.00 / $9,539.00	Facility		$1,377.66	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,164.02 / $1,377.66 / $1,939.37	Professional		$1,164.02	$1,377.66	$1,939.37
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 $1,094.06 / $1,392.94 / $1,941.48	Professional		$1,094.06	$1,392.94	$1,941.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,314.77 / $1,490.74 / $2,906.94	Professional		$1,314.77	$1,490.74	$2,906.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,215.19 / $1,663.07 / $2,799.65	Professional		$1,215.19	$1,663.07	$2,799.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,118.46 / $1,342.15 / $1,655.32	Professional		$1,118.46	$1,342.15	$1,655.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,377.66 / $1,695.92 / $2,429.54	Facility		$1,377.66	$1,695.92	$2,429.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,552.00 / $1,745.53 / $2,755.44	Professional		$1,552.00	$1,745.53	$2,755.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,227.00 / $1,681.01 / $4,462.00	Facility		$1,227.00	$1,681.01	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,227.00 / $1,681.01 / $4,462.00	Professional		$1,227.00	$1,681.01	$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 $1,075.16 / $1,763.44 / $2,666.69	Professional		$1,075.16	$1,763.44	$2,666.69