Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,704.93 / $4,796.00 / $9,539.00	Facility		$1,704.93	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,428.84 / $1,704.93 / $2,324.16	Professional		$1,428.84	$1,704.93	$2,324.16
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 $1,311.53 / $1,669.81 / $2,327.39	Professional		$1,311.53	$1,669.81	$2,327.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,584.07 / $1,734.17 / $3,088.94	Professional		$1,584.07	$1,734.17	$3,088.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,425.12 / $2,014.92 / $3,356.31	Professional		$1,425.12	$2,014.92	$3,356.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,340.78 / $1,608.94 / $1,984.35	Professional		$1,340.78	$1,608.94	$1,984.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,535.12 / $2,025.59 / $2,881.33	Facility		$1,535.12	$2,025.59	$2,881.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,810.00 / $2,161.02 / $3,303.19	Professional		$1,810.00	$2,161.02	$3,303.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,411.55 / $1,925.94 / $4,462.00	Facility		$1,411.55	$1,925.94	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,411.55 / $1,925.94 / $4,462.00	Professional		$1,411.55	$1,925.94	$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 $1,290.25 / $2,078.88 / $3,198.11	Professional		$1,290.25	$2,078.88	$3,198.11