Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,387.35 / $4,771.00 / $9,539.00	Facility		$1,387.35	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,154.38 / $1,387.35 / $1,516.06	Professional		$1,154.38	$1,387.35	$1,516.06
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 $1,119.89 / $1,432.09 / $1,964.11	Professional		$1,119.89	$1,432.09	$1,964.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,403.91 / $1,572.38 / $2,737.62	Professional		$1,403.91	$1,572.38	$2,737.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,231.02 / $1,640.89 / $3,044.02	Professional		$1,231.02	$1,640.89	$3,044.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,160.28 / $1,392.34 / $1,717.21	Professional		$1,160.28	$1,392.34	$1,717.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,314.60 / $1,703.54 / $2,371.61	Facility		$1,314.60	$1,703.54	$2,371.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,542.00 / $1,706.00 / $2,847.05	Professional		$1,542.00	$1,706.00	$2,847.05
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,201.51 / $1,645.26 / $2,933.18	Facility		$1,201.51	$1,645.26	$2,933.18
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,201.51 / $1,645.26 / $2,933.18	Professional		$1,201.51	$1,645.26	$2,933.18
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 $1,045.00 / $1,695.32 / $2,784.46	Professional		$1,045.00	$1,695.32	$2,784.46