Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,630.78 / $9,549.93	Facility		$1,778.28	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,698.24 / $2,454.71	Professional		$1,412.54	$1,698.24	$2,454.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $12,302.69 / $17,782.79	Facility		$9,772.37	$12,302.69	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $2,454.71	Professional		$1,348.96	$1,778.28	$2,454.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,737.80 / $2,344.23	Professional		$1,380.38	$1,737.80	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,905.46 / $2,691.53	Professional		$1,380.38	$1,905.46	$2,691.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,513.56 / $1,905.46	Professional		$1,258.93	$1,513.56	$1,905.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,630.27 / $3,235.94	Professional		$2,089.30	$2,630.27	$3,235.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,137.96 / $3,235.94	Facility		$1,445.44	$2,137.96	$3,235.94
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,905.46 / $7,413.10	Facility		$1,318.26	$1,905.46	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,905.46 / $7,413.10	Professional		$1,318.26	$1,905.46	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,467.37 / $7,079.46	Facility		$1,698.24	$3,467.37	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,995.26 / $3,162.28	Professional		$1,258.93	$1,995.26	$3,162.28