Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,249.84 / $4,771.00 / $9,539.00	Facility		$1,249.84	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,022.35 / $1,249.84 / $1,755.88	Professional		$1,022.35	$1,249.84	$1,755.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,312.32 / $2,001.45 / $5,768.00	Facility		$1,312.32	$2,001.45	$5,768.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,017.52 / $1,293.64 / $1,805.64	Professional		$1,017.52	$1,293.64	$1,805.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,236.92 / $1,302.30 / $2,411.98	Professional		$1,236.92	$1,302.30	$2,411.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,090.30 / $1,393.23 / $2,515.69	Professional		$1,090.30	$1,393.23	$2,515.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,063.71 / $1,276.45 / $1,574.29	Professional		$1,063.71	$1,276.45	$1,574.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,230.29 / $1,513.79 / $2,157.30	Facility		$1,230.29	$1,513.79	$2,157.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,381.00 / $1,544.00 / $2,576.06	Professional		$1,381.00	$1,544.00	$2,576.06
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,023.40 / $1,401.14 / $4,462.00	Facility		$1,023.40	$1,401.14	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,023.40 / $1,401.14 / $4,462.00	Professional		$1,023.40	$1,401.14	$4,462.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.00 / $3,295.00 / $5,790.00	Facility		$1,621.00	$3,295.00	$5,790.00
United Facility/Professional Professional Modifier Low / Median / High Price $976.40 / $1,375.59 / $2,176.85	Professional		$976.40	$1,375.59	$2,176.85