Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,434.78 / $4,771.00 / $9,539.00	Facility		$1,434.78	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,117.35 / $1,434.78 / $2,068.13	Professional		$1,117.35	$1,434.78	$2,068.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,604.05 / $10,127.70 / $14,105.84	Facility		$6,604.05	$10,127.70	$14,105.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,139.01 / $1,450.17 / $2,021.24	Professional		$1,139.01	$1,450.17	$2,021.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $778.00 / $1,377.40 / $2,735.42	Professional		$778.00	$1,377.40	$2,735.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,264.77 / $1,689.65 / $2,849.65	Professional		$1,264.77	$1,689.65	$2,849.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,193.43 / $1,432.12 / $1,766.28	Professional		$1,193.43	$1,432.12	$1,766.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,434.77 / $1,760.22 / $2,625.65	Facility		$1,434.77	$1,760.22	$2,625.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,589.00 / $1,779.23 / $2,929.70	Professional		$1,589.00	$1,779.23	$2,929.70
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,218.33 / $1,703.18 / $4,462.00	Facility		$1,218.33	$1,703.18	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,218.33 / $1,703.18 / $4,462.00	Professional		$1,218.33	$1,703.18	$4,462.00
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 $1,112.82 / $1,723.21 / $2,734.30	Professional		$1,112.82	$1,723.21	$2,734.30