Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,903.21 / $4,796.00 / $9,539.00	Facility		$1,903.21	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,598.81 / $1,903.21 / $2,666.39	Professional		$1,598.81	$1,903.21	$2,666.39
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 $1,502.59 / $1,913.06 / $2,666.42	Professional		$1,502.59	$1,913.06	$2,666.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,804.63 / $2,045.71 / $3,989.13	Professional		$1,804.63	$2,045.71	$3,989.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,668.81 / $2,297.32 / $3,851.66	Professional		$1,668.81	$2,297.32	$3,851.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,536.56 / $1,843.87 / $2,274.11	Professional		$1,536.56	$1,843.87	$2,274.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,903.21 / $2,335.76 / $3,473.14	Facility		$1,903.21	$2,335.76	$3,473.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,183.00 / $2,441.51 / $3,783.94	Professional		$2,183.00	$2,441.51	$3,783.94
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,619.18 / $2,249.00 / $4,462.00	Facility		$1,619.18	$2,249.00	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,619.18 / $2,249.00 / $4,462.00	Professional		$1,619.18	$2,249.00	$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 $1,478.63 / $2,338.76 / $3,667.42	Professional		$1,478.63	$2,338.76	$3,667.42