Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,630.78 / $9,549.93	Facility		$1,380.38	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,348.96 / $1,949.84	Professional		$1,122.02	$1,348.96	$1,949.84
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 $1,047.13 / $1,412.54 / $1,949.84	Professional		$1,047.13	$1,412.54	$1,949.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $2,041.74	Professional		$1,202.26	$1,513.56	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $2,187.76	Professional		$1,122.02	$1,513.56	$2,187.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,174.90 / $1,445.44	Professional		$977.24	$1,174.90	$1,445.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $2,630.27	Professional		$1,698.24	$2,187.76	$2,630.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,737.80 / $2,570.40	Facility		$1,122.02	$1,737.80	$2,570.40
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,584.89 / $7,413.10	Facility		$1,047.13	$1,584.89	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,584.89 / $7,413.10	Professional		$1,047.13	$1,584.89	$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 $1,000.00 / $1,659.59 / $2,511.89	Professional		$1,000.00	$1,659.59	$2,511.89