Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,298.66 / $4,771.00 / $9,539.00	Facility		$1,298.66	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,081.54 / $1,298.66 / $1,420.52	Professional		$1,081.54	$1,298.66	$1,420.52
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 $1,047.98 / $1,340.13 / $1,837.98	Professional		$1,047.98	$1,340.13	$1,837.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,315.85 / $1,473.75 / $2,565.91	Professional		$1,315.85	$1,473.75	$2,565.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,153.07 / $1,534.78 / $2,853.77	Professional		$1,153.07	$1,534.78	$2,853.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,085.45 / $1,302.54 / $1,606.47	Professional		$1,085.45	$1,302.54	$1,606.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,228.77 / $1,590.84 / $2,217.05	Facility		$1,228.77	$1,590.84	$2,217.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,435.00 / $1,600.00 / $2,663.81	Professional		$1,435.00	$1,600.00	$2,663.81
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,124.18 / $1,538.23 / $2,749.75	Facility		$1,124.18	$1,538.23	$2,749.75
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,124.18 / $1,538.23 / $2,749.75	Professional		$1,124.18	$1,538.23	$2,749.75
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 $964.06 / $1,544.20 / $2,522.86	Professional		$964.06	$1,544.20	$2,522.86