Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,372.08 / $4,771.00 / $9,539.00	Facility		$1,372.08	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,140.11 / $1,372.08 / $1,497.01	Professional		$1,140.11	$1,372.08	$1,497.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,671.00 / $14,927.78 / $20,791.37	Facility		$8,671.00	$14,927.78	$20,791.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,102.99 / $1,410.48 / $1,934.47	Professional		$1,102.99	$1,410.48	$1,934.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,387.67 / $1,614.09 / $2,810.24	Professional		$1,387.67	$1,614.09	$2,810.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,213.66 / $1,621.55 / $3,007.01	Professional		$1,213.66	$1,621.55	$3,007.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,142.49 / $1,370.99 / $1,690.89	Professional		$1,142.49	$1,370.99	$1,690.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,292.75 / $1,683.91 / $2,334.60	Facility		$1,292.75	$1,683.91	$2,334.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,504.00 / $1,687.00 / $2,803.70	Professional		$1,504.00	$1,687.00	$2,803.70
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,185.26 / $1,620.88 / $2,897.51	Facility		$1,185.26	$1,620.88	$2,897.51
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,185.26 / $1,620.88 / $2,897.51	Professional		$1,185.26	$1,620.88	$2,897.51
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 $1,025.79 / $1,636.33 / $2,613.50	Professional		$1,025.79	$1,636.33	$2,613.50