Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,296.47 / $5,412.00 / $13,209.00	Facility		$1,296.47	$5,412.00	$13,209.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,080.08 / $1,296.47 / $1,416.05	Professional		$1,080.08	$1,296.47	$1,416.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,604.05 / $10,127.70 / $14,105.84	Facility		$6,604.05	$10,127.70	$14,105.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,044.59 / $1,335.81 / $1,832.06	Professional		$1,044.59	$1,335.81	$1,832.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,311.53 / $1,468.91 / $2,557.48	Professional		$1,311.53	$1,468.91	$2,557.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.78 / $1,532.20 / $2,844.30	Professional		$1,148.78	$1,532.20	$2,844.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,081.41 / $1,297.69 / $1,600.49	Professional		$1,081.41	$1,297.69	$1,600.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,224.13 / $1,593.34 / $2,208.48	Facility		$1,224.13	$1,593.34	$2,208.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,456.00 / $1,603.00 / $2,655.22	Professional		$1,456.00	$1,603.00	$2,655.22
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,123.14 / $1,533.13 / $2,740.64	Facility		$1,123.14	$1,533.13	$2,740.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,123.14 / $1,533.13 / $2,740.64	Professional		$1,123.14	$1,533.13	$2,740.64
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 $974.87 / $1,528.82 / $2,589.19	Professional		$974.87	$1,528.82	$2,589.19