Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $9,549.93	Facility		$1,819.70	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,778.28 / $2,570.40	Professional		$1,513.56	$1,778.28	$2,570.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,137.96 / $5,888.44	Facility		$1,412.54	$2,137.96	$5,888.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,862.09 / $2,570.40	Professional		$1,380.38	$1,862.09	$2,570.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,862.09 / $2,511.89	Professional		$1,479.11	$1,862.09	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,995.26 / $2,884.03	Professional		$1,445.44	$1,995.26	$2,884.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,548.82 / $1,905.46	Professional		$1,288.25	$1,548.82	$1,905.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,884.03 / $3,467.37	Professional		$2,238.72	$2,884.03	$3,467.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,290.87 / $3,235.94	Facility		$1,479.11	$2,290.87	$3,235.94
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,089.30 / $7,413.10	Facility		$1,380.38	$2,089.30	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,089.30 / $7,413.10	Professional		$1,380.38	$2,089.30	$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 $1,318.26 / $2,187.76 / $3,388.44	Professional		$1,318.26	$2,187.76	$3,388.44