Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,630.78 / $14,791.08	Facility		$1,230.27	$3,630.78	$14,791.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,318.26 / $2,630.27	Professional		$1,096.48	$1,318.26	$2,630.27
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 $1,096.48 / $1,479.11 / $2,089.30	Professional		$1,096.48	$1,479.11	$2,089.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,445.44 / $1,862.09	Professional		$1,174.90	$1,445.44	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $2,344.23	Professional		$1,096.48	$1,479.11	$2,344.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $3,090.30	Professional		$1,000.00	$1,230.27	$3,090.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,862.09 / $2,691.53	Professional		$1,479.11	$1,862.09	$2,691.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $2,454.71	Facility		$1,148.15	$1,621.81	$2,454.71
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,548.82 / $5,248.07	Facility		$1,047.13	$1,548.82	$5,248.07
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,548.82 / $5,248.07	Professional		$1,047.13	$1,548.82	$5,248.07
United Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $9,549.93 / $19,054.61	Facility		$5,623.41	$9,549.93	$19,054.61
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,445.44 / $2,454.71	Professional		$954.99	$1,445.44	$2,454.71