Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,581.40 / $4,771.00 / $9,539.00	Facility		$1,581.40	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,368.74 / $1,581.40 / $1,704.64	Professional		$1,368.74	$1,581.40	$1,704.64
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 $1,299.36 / $1,661.60 / $2,278.88	Professional		$1,299.36	$1,661.60	$2,278.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,648.19 / $1,845.97 / $3,213.97	Professional		$1,648.19	$1,845.97	$3,213.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,357.04 / $1,831.18 / $3,492.50	Professional		$1,357.04	$1,831.18	$3,492.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,323.94 / $1,588.73 / $1,959.43	Professional		$1,323.94	$1,588.73	$1,959.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,536.25 / $1,860.37 / $2,672.57	Facility		$1,536.25	$1,860.37	$2,672.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,642.00 / $1,961.00 / $3,090.00	Professional		$1,642.00	$1,961.00	$3,090.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,332.12 / $1,755.40 / $3,458.85	Facility		$1,332.12	$1,755.40	$3,458.85
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,332.12 / $1,755.40 / $3,458.85	Professional		$1,332.12	$1,755.40	$3,458.85
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 $1,182.31 / $1,700.08 / $3,087.52	Professional		$1,182.31	$1,700.08	$3,087.52