Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $3,630.78 / $9,549.93	Facility		$1,174.90	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,258.93 / $2,041.74	Professional		$1,047.13	$1,258.93	$2,041.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,220.18 / $15,488.17	Facility		$6,918.31	$11,220.18	$15,488.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $1,995.26	Professional		$1,047.13	$1,412.54	$1,995.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,380.38 / $1,778.28	Professional		$1,122.02	$1,380.38	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $2,238.72	Professional		$1,047.13	$1,412.54	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,174.90 / $2,951.21	Professional		$954.99	$1,174.90	$2,951.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,819.70 / $2,570.40	Professional		$1,445.44	$1,819.70	$2,570.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $2,344.23	Facility		$1,071.52	$1,548.82	$2,344.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,479.11 / $5,248.07	Facility		$1,023.29	$1,479.11	$5,248.07
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,479.11 / $5,248.07	Professional		$1,023.29	$1,479.11	$5,248.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,467.37 / $7,079.46	Facility		$1,698.24	$3,467.37	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,380.38 / $2,290.87	Professional		$912.01	$1,380.38	$2,290.87