Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,294.35 / $4,771.00 / $9,539.00	Facility		$1,294.35	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,074.73 / $1,294.35 / $1,411.63	Professional		$1,074.73	$1,294.35	$1,411.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,671.00 / $14,927.78 / $20,791.37	Facility		$8,671.00	$14,927.78	$20,791.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,041.21 / $1,331.48 / $1,826.12	Professional		$1,041.21	$1,331.48	$1,826.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,310.53 / $1,958.43 / $13,882.00	Professional		$1,310.53	$1,958.43	$13,882.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,145.18 / $1,529.70 / $2,835.63	Professional		$1,145.18	$1,529.70	$2,835.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,078.02 / $1,293.61 / $1,595.47	Professional		$1,078.02	$1,293.61	$1,595.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,220.21 / $1,588.53 / $2,202.69	Facility		$1,220.21	$1,588.53	$2,202.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,435.00 / $1,590.00 / $2,646.65	Professional		$1,435.00	$1,590.00	$2,646.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,120.92 / $1,528.45 / $2,732.28	Facility		$1,120.92	$1,528.45	$2,732.28
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,120.92 / $1,528.45 / $2,732.28	Professional		$1,120.92	$1,528.45	$2,732.28
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 $976.61 / $1,484.93 / $2,465.60	Professional		$976.61	$1,484.93	$2,465.60