Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,363.49 / $4,771.00 / $9,539.00	Facility		$1,363.49	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,144.63 / $1,363.49 / $1,930.22	Professional		$1,144.63	$1,363.49	$1,930.22
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 $1,040.59 / $1,324.87 / $1,846.61	Professional		$1,040.59	$1,324.87	$1,846.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,349.71 / $1,375.84 / $2,631.93	Professional		$1,349.71	$1,375.84	$2,631.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,156.88 / $1,611.40 / $2,775.56	Professional		$1,156.88	$1,611.40	$2,775.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,064.58 / $1,277.50 / $1,575.58	Professional		$1,064.58	$1,277.50	$1,575.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,363.49 / $1,631.86 / $2,401.88	Facility		$1,363.49	$1,631.86	$2,401.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,530.00 / $1,721.67 / $2,621.16	Professional		$1,530.00	$1,721.67	$2,621.16
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,218.21 / $1,630.79 / $4,462.00	Facility		$1,218.21	$1,630.79	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,218.21 / $1,630.79 / $4,462.00	Professional		$1,218.21	$1,630.79	$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 $1,069.90 / $1,680.46 / $2,648.64	Professional		$1,069.90	$1,680.46	$2,648.64