Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,276.49 / $4,771.00 / $9,539.00	Facility		$1,276.49	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,100.43 / $1,276.49 / $1,801.94	Professional		$1,100.43	$1,276.49	$1,801.94
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 $1,016.00 / $1,293.55 / $1,802.96	Professional		$1,016.00	$1,293.55	$1,802.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,317.41 / $1,343.06 / $2,568.94	Professional		$1,317.41	$1,343.06	$2,568.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,130.47 / $1,508.58 / $2,601.92	Professional		$1,130.47	$1,508.58	$2,601.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,040.13 / $1,248.16 / $1,539.39	Professional		$1,040.13	$1,248.16	$1,539.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,276.49 / $1,577.21 / $2,349.07	Facility		$1,276.49	$1,577.21	$2,349.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,466.00 / $1,666.09 / $2,558.94	Professional		$1,466.00	$1,666.09	$2,558.94
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,175.18 / $1,557.76 / $4,462.00	Facility		$1,175.18	$1,557.76	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,175.18 / $1,557.76 / $4,462.00	Professional		$1,175.18	$1,557.76	$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 $999.37 / $1,688.65 / $2,521.21	Professional		$999.37	$1,688.65	$2,521.21