Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,357.23 / $4,771.00 / $9,539.00	Facility		$1,357.23	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,289.77 / $1,357.23 / $1,901.56	Professional		$1,289.77	$1,357.23	$1,901.56
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 $1,072.80 / $1,365.87 / $1,903.75	Professional		$1,072.80	$1,365.87	$1,903.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,289.33 / $1,462.36 / $2,851.60	Professional		$1,289.33	$1,462.36	$2,851.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,192.08 / $1,642.73 / $2,746.29	Professional		$1,192.08	$1,642.73	$2,746.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,097.03 / $1,316.44 / $1,623.60	Professional		$1,097.03	$1,316.44	$1,623.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,357.23 / $1,662.62 / $2,389.50	Facility		$1,357.23	$1,662.62	$2,389.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,591.00 / $1,818.00 / $2,701.90	Professional		$1,591.00	$1,818.00	$2,701.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,227.00 / $1,648.12 / $4,462.00	Facility		$1,227.00	$1,648.12	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,227.00 / $1,648.12 / $4,462.00	Professional		$1,227.00	$1,648.12	$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 $1,054.84 / $1,657.86 / $2,517.54	Professional		$1,054.84	$1,657.86	$2,517.54