Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,468.69 / $4,771.00 / $9,539.00	Facility		$1,468.69	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,243.67 / $1,468.69 / $1,831.37	Professional		$1,243.67	$1,468.69	$1,831.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,162.00 / $17,132.29 / $23,861.81	Facility		$11,162.00	$17,132.29	$23,861.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,206.25 / $1,542.53 / $2,115.57	Professional		$1,206.25	$1,542.53	$2,115.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,422.09 / $1,592.74 / $2,773.08	Professional		$1,422.09	$1,592.74	$2,773.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,268.23 / $1,716.99 / $3,234.58	Professional		$1,268.23	$1,716.99	$3,234.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,237.30 / $1,484.76 / $1,831.20	Professional		$1,237.30	$1,484.76	$1,831.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,343.73 / $1,723.01 / $2,459.03	Facility		$1,343.73	$1,723.01	$2,459.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,619.00 / $1,816.00 / $3,032.86	Professional		$1,619.00	$1,816.00	$3,032.86
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,242.95 / $1,658.35 / $3,179.26	Facility		$1,242.95	$1,658.35	$3,179.26
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,242.95 / $1,658.35 / $3,179.26	Professional		$1,242.95	$1,658.35	$3,179.26
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 $1,054.31 / $1,621.65 / $2,859.52	Professional		$1,054.31	$1,621.65	$2,859.52