Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,983.04 / $4,841.31 / $9,539.00	Facility		$1,983.04	$4,841.31	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,704.73 / $1,983.04 / $2,789.10	Professional		$1,704.73	$1,983.04	$2,789.10
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 $1,571.84 / $2,001.23 / $2,789.32	Professional		$1,571.84	$2,001.23	$2,789.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,887.57 / $1,969.19 / $3,839.92	Professional		$1,887.57	$1,969.19	$3,839.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,708.71 / $2,343.60 / $4,030.37	Professional		$1,708.71	$2,343.60	$4,030.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,606.53 / $1,927.84 / $2,377.66	Professional		$1,606.53	$1,927.84	$2,377.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,838.16 / $2,427.39 / $3,351.34	Facility		$1,838.16	$2,427.39	$3,351.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,169.00 / $2,526.00 / $3,957.79	Professional		$2,169.00	$2,526.00	$3,957.79
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,692.82 / $2,250.02 / $4,462.00	Facility		$1,692.82	$2,250.02	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,692.82 / $2,250.02 / $4,462.00	Professional		$1,692.82	$2,250.02	$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 $1,549.37 / $2,483.17 / $3,837.30	Professional		$1,549.37	$2,483.17	$3,837.30