Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,342.86 / $4,771.00 / $9,539.00	Facility		$1,342.86	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,157.80 / $1,342.86 / $1,473.18	Professional		$1,157.80	$1,342.86	$1,473.18
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 $1,105.75 / $1,414.01 / $1,939.31	Professional		$1,105.75	$1,414.01	$1,939.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,402.99 / $1,583.93 / $2,757.73	Professional		$1,402.99	$1,583.93	$2,757.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,175.92 / $1,576.72 / $2,945.15	Professional		$1,175.92	$1,576.72	$2,945.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,139.32 / $1,367.18 / $1,686.19	Professional		$1,139.32	$1,367.18	$1,686.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,342.86 / $1,604.99 / $2,398.55	Facility		$1,342.86	$1,604.99	$2,398.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,468.00 / $1,666.36 / $2,804.30	Professional		$1,468.00	$1,666.36	$2,804.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,213.58 / $1,567.47 / $2,854.78	Facility		$1,213.58	$1,567.47	$2,854.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,213.58 / $1,567.47 / $2,854.78	Professional		$1,213.58	$1,567.47	$2,854.78
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 $936.18 / $1,572.76 / $2,587.03	Professional		$936.18	$1,572.76	$2,587.03