Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,309.64 / $3,839.68 / $8,920.00	Facility		$1,309.64	$3,839.68	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,130.91 / $1,309.64 / $1,407.40	Professional		$1,130.91	$1,309.64	$1,407.40
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 $1,071.64 / $1,370.39 / $1,879.48	Professional		$1,071.64	$1,370.39	$1,879.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $794.00 / $1,291.64 / $2,134.10	Professional		$794.00	$1,291.64	$2,134.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,119.15 / $1,501.36 / $2,888.86	Professional		$1,119.15	$1,501.36	$2,888.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,092.00 / $1,310.40 / $1,616.16	Professional		$1,092.00	$1,310.40	$1,616.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,262.55 / $1,538.76 / $2,213.29	Facility		$1,262.55	$1,538.76	$2,213.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,296.00 / $1,617.00 / $2,679.62	Professional		$1,296.00	$1,617.00	$2,679.62
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,106.07 / $1,450.24 / $2,784.38	Facility		$1,106.07	$1,450.24	$2,784.38
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,106.07 / $1,450.24 / $2,784.38	Professional		$1,106.07	$1,450.24	$2,784.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,820.00 / $3,880.00	Facility		$1,066.00	$1,820.00	$3,880.00
United Facility/Professional Professional Modifier Low / Median / High Price $974.42 / $1,489.61 / $2,627.13	Professional		$974.42	$1,489.61	$2,627.13