Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.79 / $4,771.00 / $9,539.00	Facility		$1,380.79	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,210.33 / $1,380.79 / $1,594.70	Professional		$1,210.33	$1,380.79	$1,594.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,685.00 / $17,371.00 / $24,194.30	Facility		$8,685.00	$17,371.00	$24,194.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,152.77 / $1,474.14 / $2,021.78	Professional		$1,152.77	$1,474.14	$2,021.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,472.98 / $1,649.74 / $2,872.31	Professional		$1,472.98	$1,649.74	$2,872.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,204.83 / $1,631.85 / $3,066.63	Professional		$1,204.83	$1,631.85	$3,066.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,170.89 / $1,405.07 / $1,732.92	Professional		$1,170.89	$1,405.07	$1,732.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,271.33 / $1,644.86 / $2,287.71	Facility		$1,271.33	$1,644.86	$2,287.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,524.00 / $1,720.19 / $2,892.29	Professional		$1,524.00	$1,720.19	$2,892.29
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,219.02 / $1,590.55 / $3,024.86	Facility		$1,219.02	$1,590.55	$3,024.86
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,219.02 / $1,590.55 / $3,024.86	Professional		$1,219.02	$1,590.55	$3,024.86
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 $1,017.93 / $1,575.39 / $2,705.40	Professional		$1,017.93	$1,575.39	$2,705.40