Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,395.55 / $4,771.00 / $9,539.00	Facility		$1,395.55	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,179.47 / $1,395.55 / $1,967.91	Professional		$1,179.47	$1,395.55	$1,967.91
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 $1,111.07 / $1,414.58 / $1,971.65	Professional		$1,111.07	$1,414.58	$1,971.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,403.30 / $1,436.12 / $2,800.43	Professional		$1,403.30	$1,436.12	$2,800.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,235.51 / $1,649.29 / $2,836.68	Professional		$1,235.51	$1,649.29	$2,836.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,136.69 / $1,364.03 / $1,682.30	Professional		$1,136.69	$1,364.03	$1,682.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,395.55 / $1,719.79 / $2,534.65	Facility		$1,395.55	$1,719.79	$2,534.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,573.00 / $1,789.46 / $2,799.24	Professional		$1,573.00	$1,789.46	$2,799.24
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,227.00 / $1,650.58 / $4,462.00	Facility		$1,227.00	$1,650.58	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,227.00 / $1,650.58 / $4,462.00	Professional		$1,227.00	$1,650.58	$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 $1,090.22 / $1,788.13 / $2,704.06	Professional		$1,090.22	$1,788.13	$2,704.06