Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,630.78 / $9,549.93	Facility		$1,288.25	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,348.96 / $2,187.76	Professional		$1,122.02	$1,348.96	$2,187.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $16,595.87 / $22,908.68	Facility		$8,709.64	$16,595.87	$22,908.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $2,187.76	Professional		$1,148.15	$1,548.82	$2,187.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,513.56 / $1,949.84	Professional		$1,230.27	$1,513.56	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $2,454.71	Professional		$1,148.15	$1,513.56	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,288.25 / $3,235.94	Professional		$1,047.13	$1,288.25	$3,235.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,862.09 / $2,818.38	Professional		$1,479.11	$1,862.09	$2,818.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,698.24 / $2,511.89	Facility		$1,174.90	$1,698.24	$2,511.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,621.81 / $5,248.07	Facility		$1,071.52	$1,621.81	$5,248.07
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,621.81 / $5,248.07	Professional		$1,071.52	$1,621.81	$5,248.07
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 / $1,479.11 / $2,511.89	Professional		$1,000.00	$1,479.11	$2,511.89