Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,379.90 / $5,980.00 / $14,867.45	Facility		$1,379.90	$5,980.00	$14,867.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,147.63 / $1,379.90 / $1,507.30	Professional		$1,147.63	$1,379.90	$1,507.30
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 $1,111.90 / $1,421.87 / $1,950.09	Professional		$1,111.90	$1,421.87	$1,950.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,400.24 / $1,569.18 / $2,732.05	Professional		$1,400.24	$1,569.18	$2,732.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,188.56 / $1,630.79 / $3,026.75	Professional		$1,188.56	$1,630.79	$3,026.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,151.42 / $1,381.70 / $1,704.10	Professional		$1,151.42	$1,381.70	$1,704.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,303.99 / $1,686.02 / $2,254.84	Facility		$1,303.99	$1,686.02	$2,254.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,522.00 / $1,758.00 / $2,826.55	Professional		$1,522.00	$1,758.00	$2,826.55
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,158.36 / $1,613.51 / $2,916.54	Facility		$1,158.36	$1,613.51	$2,916.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,158.36 / $1,613.51 / $2,916.54	Professional		$1,158.36	$1,613.51	$2,916.54
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 $1,061.78 / $1,620.06 / $2,520.51	Professional		$1,061.78	$1,620.06	$2,520.51