Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,373.22 / $4,771.00 / $9,539.00	Facility		$1,373.22	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,157.14 / $1,373.22 / $2,529.59	Professional		$1,157.14	$1,373.22	$2,529.59
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 $1,085.55 / $1,382.10 / $1,926.38	Professional		$1,085.55	$1,382.10	$1,926.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,406.93 / $1,434.95 / $2,743.51	Professional		$1,406.93	$1,434.95	$2,743.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,138.06 / $1,543.31 / $2,778.45	Professional		$1,138.06	$1,543.31	$2,778.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,110.31 / $1,332.37 / $1,643.26	Professional		$1,110.31	$1,332.37	$1,643.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,373.22 / $1,633.57 / $2,466.88	Facility		$1,373.22	$1,633.57	$2,466.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,464.00 / $1,705.00 / $2,734.08	Professional		$1,464.00	$1,705.00	$2,734.08
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,138.28 / $1,605.65 / $4,462.00	Facility		$1,138.28	$1,605.65	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,138.28 / $1,605.65 / $4,462.00	Professional		$1,138.28	$1,605.65	$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 $1,067.01 / $1,445.08 / $2,646.48	Professional		$1,067.01	$1,445.08	$2,646.48