Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,365.91 / $4,771.00 / $9,539.00	Facility		$1,365.91	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,140.84 / $1,365.91 / $1,533.25	Professional		$1,140.84	$1,365.91	$1,533.25
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 $1,108.82 / $1,417.94 / $1,944.70	Professional		$1,108.82	$1,417.94	$1,944.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,397.22 / $1,615.28 / $2,812.31	Professional		$1,397.22	$1,615.28	$2,812.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,192.33 / $1,614.25 / $2,988.77	Professional		$1,192.33	$1,614.25	$2,988.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.40 / $1,346.88 / $1,661.15	Professional		$1,122.40	$1,346.88	$1,661.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,277.83 / $1,672.18 / $2,338.44	Facility		$1,277.83	$1,672.18	$2,338.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,509.00 / $1,671.00 / $2,808.31	Professional		$1,509.00	$1,671.00	$2,808.31
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,227.00 / $1,594.49 / $2,879.92	Facility		$1,227.00	$1,594.49	$2,879.92
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,227.00 / $1,594.49 / $2,879.92	Professional		$1,227.00	$1,594.49	$2,879.92
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 $1,008.18 / $1,613.91 / $2,656.91	Professional		$1,008.18	$1,613.91	$2,656.91