Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,484.09 / $4,771.00 / $9,539.00	Facility		$1,484.09	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,210.29 / $1,484.09 / $2,738.32	Professional		$1,210.29	$1,484.09	$2,738.32
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 $1,194.30 / $1,518.39 / $2,119.35	Professional		$1,194.30	$1,518.39	$2,119.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,457.59 / $1,528.24 / $2,842.30	Professional		$1,457.59	$1,528.24	$2,842.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,221.20 / $1,641.26 / $3,009.20	Professional		$1,221.20	$1,641.26	$3,009.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,228.93 / $1,474.72 / $1,818.82	Professional		$1,228.93	$1,474.72	$1,818.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,422.09 / $1,758.60 / $2,430.92	Facility		$1,422.09	$1,758.60	$2,430.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,531.00 / $1,824.00 / $2,868.00	Professional		$1,531.00	$1,824.00	$2,868.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,172.58 / $1,598.06 / $4,462.00	Facility		$1,172.58	$1,598.06	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,172.58 / $1,598.06 / $4,462.00	Professional		$1,172.58	$1,598.06	$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 $1,169.32 / $1,675.14 / $2,899.68	Professional		$1,169.32	$1,675.14	$2,899.68