Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,630.78 / $9,549.93	Facility		$1,621.81	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,584.89 / $2,290.87	Professional		$1,318.26	$1,584.89	$2,290.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $10,232.93 / $14,125.38	Facility		$6,760.83	$10,232.93	$14,125.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $2,290.87	Professional		$1,202.26	$1,621.81	$2,290.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,584.89 / $2,187.76	Professional		$1,288.25	$1,584.89	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $2,511.89	Professional		$1,288.25	$1,698.24	$2,511.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,380.38 / $1,698.24	Professional		$1,148.15	$1,380.38	$1,698.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,995.26 / $3,019.95	Professional		$1,584.89	$1,995.26	$3,019.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,862.09 / $2,951.21	Facility		$1,318.26	$1,862.09	$2,951.21
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,819.70 / $7,413.10	Facility		$1,096.48	$1,819.70	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,819.70 / $7,413.10	Professional		$1,096.48	$1,819.70	$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 $1,148.15 / $1,778.28 / $2,951.21	Professional		$1,148.15	$1,778.28	$2,951.21