Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,488.98 / $4,771.00 / $9,539.00	Facility		$1,488.98	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,403.46 / $1,488.98 / $2,088.05	Professional		$1,403.46	$1,488.98	$2,088.05
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 $1,178.50 / $1,500.44 / $2,091.31	Professional		$1,178.50	$1,500.44	$2,091.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,416.95 / $1,732.92 / $3,379.19	Professional		$1,416.95	$1,732.92	$3,379.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,280.40 / $1,759.71 / $3,012.97	Professional		$1,280.40	$1,759.71	$3,012.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,205.65 / $1,446.78 / $1,784.36	Professional		$1,205.65	$1,446.78	$1,784.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,488.98 / $1,827.39 / $2,621.30	Facility		$1,488.98	$1,827.39	$2,621.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,754.00 / $1,979.00 / $2,968.61	Professional		$1,754.00	$1,979.00	$2,968.61
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,227.00 / $1,778.95 / $4,462.00	Facility		$1,227.00	$1,778.95	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,227.00 / $1,778.95 / $4,462.00	Professional		$1,227.00	$1,778.95	$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 $1,157.65 / $1,951.34 / $2,871.29	Professional		$1,157.65	$1,951.34	$2,871.29