Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,485.69 / $4,771.00 / $9,539.00	Facility		$1,485.69	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,259.01 / $1,485.69 / $2,076.64	Professional		$1,259.01	$1,485.69	$2,076.64
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 $1,166.96 / $1,485.75 / $2,070.84	Professional		$1,166.96	$1,485.75	$2,070.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,531.53 / $1,547.24 / $2,986.48	Professional		$1,531.53	$1,547.24	$2,986.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,296.53 / $1,755.81 / $2,985.31	Professional		$1,296.53	$1,755.81	$2,985.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,191.16 / $1,429.39 / $1,762.92	Professional		$1,191.16	$1,429.39	$1,762.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,474.78 / $1,809.72 / $2,654.73	Facility		$1,474.78	$1,809.72	$2,654.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,685.00 / $1,882.66 / $2,943.17	Professional		$1,685.00	$1,882.66	$2,943.17
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,256.83 / $1,728.75 / $4,462.00	Facility		$1,256.83	$1,728.75	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,256.83 / $1,728.75 / $4,462.00	Professional		$1,256.83	$1,728.75	$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 $1,149.53 / $1,758.90 / $2,851.14	Professional		$1,149.53	$1,758.90	$2,851.14