Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,199.81 / $4,796.00 / $9,539.00	Facility		$1,199.81	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,030.35 / $1,199.81 / $1,427.00	Professional		$1,030.35	$1,199.81	$1,427.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,760.00 / $18,805.21 / $26,191.85	Facility		$8,760.00	$18,805.21	$26,191.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,321.03 / $1,726.84 / $2,368.36	Professional		$1,321.03	$1,726.84	$2,368.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,148.97 / $1,148.97 / $1,321.32	Professional		$1,148.97	$1,148.97	$1,321.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.27 / $1,664.27 / $1,664.27	Facility		$1,664.27	$1,664.27	$1,664.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,183.32 / $1,475.35 / $2,586.80	Professional		$1,183.32	$1,475.35	$2,586.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,480.85 / $1,671.82 / $1,990.26	Professional		$1,480.85	$1,671.82	$1,990.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,009.46 / $1,199.81 / $1,859.42	Facility		$1,009.46	$1,199.81	$1,859.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,494.00 / $1,865.00 / $3,313.92	Professional		$1,494.00	$1,865.00	$3,313.92
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,090.75 / $1,527.05 / $4,462.00	Facility		$1,090.75	$1,527.05	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,090.75 / $1,527.05 / $4,462.00	Professional		$1,090.75	$1,527.05	$4,462.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,959.00 / $5,226.00	Facility		$1,547.00	$2,959.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $930.20 / $1,242.33 / $2,038.83	Professional		$930.20	$1,242.33	$2,038.83