Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,454.65 / $4,771.00 / $9,539.00	Facility		$1,454.65	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,209.63 / $1,454.65 / $1,510.02	Professional		$1,209.63	$1,454.65	$1,510.02
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 $1,189.04 / $1,520.52 / $2,085.39	Professional		$1,189.04	$1,520.52	$2,085.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,499.61 / $1,679.56 / $2,924.24	Professional		$1,499.61	$1,679.56	$2,924.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,241.59 / $1,645.83 / $3,080.17	Professional		$1,241.59	$1,645.83	$3,080.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,210.50 / $1,452.60 / $1,791.54	Professional		$1,210.50	$1,452.60	$1,791.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,388.14 / $1,686.41 / $2,458.36	Facility		$1,388.14	$1,686.41	$2,458.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,457.00 / $1,772.00 / $2,971.92	Professional		$1,457.00	$1,772.00	$2,971.92
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,227.00 / $1,621.00 / $3,034.35	Facility		$1,227.00	$1,621.00	$3,034.35
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,227.00 / $1,621.00 / $3,034.35	Professional		$1,227.00	$1,621.00	$3,034.35
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 $1,036.78 / $1,527.86 / $2,696.64	Professional		$1,036.78	$1,527.86	$2,696.64