Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,345.75 / $4,771.00 / $9,539.00	Facility		$1,345.75	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,160.75 / $1,345.75 / $1,467.88	Professional		$1,160.75	$1,345.75	$1,467.88
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 $1,082.08 / $1,383.75 / $1,897.81	Professional		$1,082.08	$1,383.75	$1,897.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,361.60 / $1,583.77 / $2,757.46	Professional		$1,361.60	$1,583.77	$2,757.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,190.96 / $1,590.44 / $2,947.62	Professional		$1,190.96	$1,590.44	$2,947.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,121.10 / $1,345.33 / $1,659.24	Professional		$1,121.10	$1,345.33	$1,659.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,268.99 / $1,651.60 / $2,290.28	Facility		$1,268.99	$1,651.60	$2,290.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,534.00 / $1,714.00 / $2,750.50	Professional		$1,534.00	$1,714.00	$2,750.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,192.60 / $1,588.85 / $2,840.25	Facility		$1,192.60	$1,588.85	$2,840.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,192.60 / $1,588.85 / $2,840.25	Professional		$1,192.60	$1,588.85	$2,840.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.00 / $3,295.00 / $5,790.00	Facility		$1,621.00	$3,295.00	$5,790.00
United Facility/Professional Professional Modifier Low / Median / High Price $987.99 / $1,562.25 / $2,562.14	Professional		$987.99	$1,562.25	$2,562.14