Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,394.82 / $4,771.00 / $9,539.00	Facility		$1,394.82	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,160.23 / $1,394.82 / $1,524.49	Professional		$1,160.23	$1,394.82	$1,524.49
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 $1,125.73 / $1,439.56 / $1,974.35	Professional		$1,125.73	$1,439.56	$1,974.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,411.37 / $1,580.73 / $2,752.17	Professional		$1,411.37	$1,580.73	$2,752.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,237.93 / $1,648.42 / $3,058.78	Professional		$1,237.93	$1,648.42	$3,058.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,167.06 / $1,400.47 / $1,727.25	Professional		$1,167.06	$1,400.47	$1,727.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,322.49 / $1,712.70 / $2,384.73	Facility		$1,322.49	$1,712.70	$2,384.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,548.00 / $1,715.00 / $2,861.98	Professional		$1,548.00	$1,715.00	$2,861.98
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,209.08 / $1,632.79 / $2,947.43	Facility		$1,209.08	$1,632.79	$2,947.43
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,209.08 / $1,632.79 / $2,947.43	Professional		$1,209.08	$1,632.79	$2,947.43
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 $1,015.32 / $1,558.10 / $2,661.87	Professional		$1,015.32	$1,558.10	$2,661.87