Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,377.04 / $4,771.00 / $9,539.00	Facility		$1,377.04	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,162.36 / $1,377.04 / $1,936.14	Professional		$1,162.36	$1,377.04	$1,936.14
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 $1,093.45 / $1,392.16 / $1,940.39	Professional		$1,093.45	$1,392.16	$1,940.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,415.52 / $1,446.72 / $2,760.26	Professional		$1,415.52	$1,446.72	$2,760.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,216.31 / $1,627.41 / $2,793.55	Professional		$1,216.31	$1,627.41	$2,793.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,118.76 / $1,342.51 / $1,655.76	Professional		$1,118.76	$1,342.51	$1,655.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,377.04 / $1,693.98 / $2,529.07	Facility		$1,377.04	$1,693.98	$2,529.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,548.00 / $1,778.18 / $2,754.77	Professional		$1,548.00	$1,778.18	$2,754.77
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,227.00 / $1,650.41 / $4,462.00	Facility		$1,227.00	$1,650.41	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,227.00 / $1,650.41 / $4,462.00	Professional		$1,227.00	$1,650.41	$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 $1,073.63 / $1,796.77 / $2,706.88	Professional		$1,073.63	$1,796.77	$2,706.88