Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,630.78 / $9,549.93	Facility		$1,096.48	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,148.15 / $1,862.09	Professional		$977.24	$1,148.15	$1,862.09
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 $977.24 / $1,318.26 / $1,862.09	Professional		$977.24	$1,318.26	$1,862.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $1,659.59	Professional		$1,047.13	$1,318.26	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,318.26 / $2,089.30	Professional		$977.24	$1,318.26	$2,089.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $2,754.23	Professional		$891.25	$1,122.02	$2,754.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,659.59 / $2,398.83	Professional		$1,318.26	$1,659.59	$2,398.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $2,187.76	Facility		$1,023.29	$1,445.44	$2,187.76
Sentara Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,380.38 / $5,248.07	Facility		$933.25	$1,380.38	$5,248.07
Sentara Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,380.38 / $5,248.07	Professional		$933.25	$1,380.38	$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 $851.14 / $1,288.25 / $2,187.76	Professional		$851.14	$1,288.25	$2,187.76