Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,703.18 / $4,796.00 / $9,539.00	Facility		$1,703.18	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,274.90 / $1,580.36 / $1,882.30	Professional		$1,274.90	$1,580.36	$1,882.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,671.00 / $14,495.61 / $20,189.45	Facility		$8,671.00	$14,495.61	$20,189.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,417.07 / $1,812.12 / $2,485.32	Professional		$1,417.07	$1,812.12	$2,485.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,756.66 / $1,967.46 / $3,425.49	Professional		$1,756.66	$1,967.46	$3,425.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,449.18 / $1,968.79 / $3,727.90	Professional		$1,449.18	$1,968.79	$3,727.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,451.96 / $1,742.35 / $2,148.90	Professional		$1,451.96	$1,742.35	$2,148.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,440.64 / $2,010.81 / $2,878.37	Facility		$1,440.64	$2,010.81	$2,878.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,839.86 / $2,130.00 / $3,583.78	Professional		$1,839.86	$2,130.00	$3,583.78
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,453.81 / $1,913.81 / $3,658.00	Facility		$1,453.81	$1,913.81	$3,658.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,453.81 / $1,913.81 / $3,658.00	Professional		$1,453.81	$1,913.81	$3,658.00
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 $1,233.64 / $1,871.09 / $3,283.61	Professional		$1,233.64	$1,871.09	$3,283.61