Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,382.95 / $4,771.00 / $9,539.00	Facility		$1,382.95	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,194.81 / $1,382.95 / $1,486.70	Professional		$1,194.81	$1,382.95	$1,486.70
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 $1,131.88 / $1,447.42 / $1,985.13	Professional		$1,131.88	$1,447.42	$1,985.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,435.39 / $1,613.09 / $2,808.51	Professional		$1,435.39	$1,613.09	$2,808.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,182.98 / $1,610.81 / $3,051.43	Professional		$1,182.98	$1,610.81	$3,051.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,152.46 / $1,382.95 / $1,705.64	Professional		$1,152.46	$1,382.95	$1,705.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,336.16 / $1,627.61 / $2,337.19	Facility		$1,336.16	$1,627.61	$2,337.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,472.00 / $1,707.00 / $2,829.36	Professional		$1,472.00	$1,707.00	$2,829.36
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,174.64 / $1,582.71 / $3,007.79	Facility		$1,174.64	$1,582.71	$3,007.79
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,174.64 / $1,582.71 / $3,007.79	Professional		$1,174.64	$1,582.71	$3,007.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.00 / $3,295.00 / $5,790.00	Facility		$1,621.00	$3,295.00	$5,790.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,029.27 / $1,586.60 / $2,671.47	Professional		$1,029.27	$1,586.60	$2,671.47