Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,251.19 / $4,771.00 / $9,539.00	Facility		$1,251.19	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,053.46 / $1,251.19 / $1,364.90	Professional		$1,053.46	$1,251.19	$1,364.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,604.05 / $10,127.70 / $14,105.84	Facility		$6,604.05	$10,127.70	$14,105.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,007.10 / $1,287.85 / $1,766.29	Professional		$1,007.10	$1,287.85	$1,766.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,264.73 / $1,416.50 / $2,466.21	Professional		$1,264.73	$1,416.50	$2,466.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,108.15 / $1,478.68 / $2,743.34	Professional		$1,108.15	$1,478.68	$2,743.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,043.16 / $1,251.79 / $1,543.88	Professional		$1,043.16	$1,251.79	$1,543.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,181.13 / $1,528.04 / $2,132.35	Facility		$1,181.13	$1,528.04	$2,132.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,415.00 / $1,561.00 / $2,560.15	Professional		$1,415.00	$1,561.00	$2,560.15
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,080.76 / $1,479.76 / $2,644.13	Facility		$1,080.76	$1,479.76	$2,644.13
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,080.76 / $1,479.76 / $2,644.13	Professional		$1,080.76	$1,479.76	$2,644.13
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 $928.54 / $1,475.22 / $2,386.28	Professional		$928.54	$1,475.22	$2,386.28