Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,376.77 / $4,796.00 / $9,918.00	Facility		$1,376.77	$4,796.00	$9,918.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,195.99 / $1,376.77 / $1,533.96	Professional		$1,195.99	$1,376.77	$1,533.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,162.00 / $17,132.29 / $23,861.81	Facility		$11,162.00	$17,132.29	$23,861.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,118.66 / $1,430.52 / $1,961.95	Professional		$1,118.66	$1,430.52	$1,961.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $794.00 / $1,343.31 / $2,671.79	Professional		$794.00	$1,343.31	$2,671.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,153.81 / $1,587.87 / $3,106.05	Professional		$1,153.81	$1,587.87	$3,106.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,136.84 / $1,364.22 / $1,682.54	Professional		$1,136.84	$1,364.22	$1,682.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,328.35 / $1,628.02 / $2,423.02	Facility		$1,328.35	$1,628.02	$2,423.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,477.00 / $1,723.00 / $2,795.28	Professional		$1,477.00	$1,723.00	$2,795.28
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,157.09 / $1,565.74 / $2,951.65	Facility		$1,157.09	$1,565.74	$2,951.65
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,157.09 / $1,565.74 / $2,951.65	Professional		$1,157.09	$1,565.74	$2,951.65
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 $1,011.42 / $1,542.21 / $2,687.20	Professional		$1,011.42	$1,542.21	$2,687.20