Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,472.24 / $4,771.00 / $9,539.00	Facility		$1,472.24	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,216.30 / $1,472.24 / $1,596.57	Professional		$1,216.30	$1,472.24	$1,596.57
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 $1,176.75 / $1,504.80 / $2,063.83	Professional		$1,176.75	$1,504.80	$2,063.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,481.12 / $1,671.49 / $2,910.18	Professional		$1,481.12	$1,671.49	$2,910.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,295.25 / $1,739.92 / $3,236.02	Professional		$1,295.25	$1,739.92	$3,236.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,219.29 / $1,463.15 / $1,804.55	Professional		$1,219.29	$1,463.15	$1,804.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,380.36 / $1,799.75 / $2,492.31	Facility		$1,380.36	$1,799.75	$2,492.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,635.00 / $1,804.00 / $2,991.60	Professional		$1,635.00	$1,804.00	$2,991.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,263.50 / $1,729.32 / $3,118.30	Facility		$1,263.50	$1,729.32	$3,118.30
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,263.50 / $1,729.32 / $3,118.30	Professional		$1,263.50	$1,729.32	$3,118.30
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 $1,085.29 / $1,742.10 / $2,818.98	Professional		$1,085.29	$1,742.10	$2,818.98