Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,218.79 / $5,048.00 / $14,796.00	Facility		$1,218.79	$5,048.00	$14,796.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,136.67 / $1,218.79 / $1,362.68	Professional		$1,136.67	$1,218.79	$1,362.68
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 $982.52 / $1,256.42 / $1,723.18	Professional		$982.52	$1,256.42	$1,723.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,237.18 / $1,486.16 / $2,587.51	Professional		$1,237.18	$1,486.16	$2,587.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,104.58 / $1,457.13 / $2,673.71	Professional		$1,104.58	$1,457.13	$2,673.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,018.07 / $1,221.68 / $1,506.74	Professional		$1,018.07	$1,221.68	$1,506.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,153.07 / $1,498.00 / $2,183.60	Facility		$1,153.07	$1,498.00	$2,183.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,443.00 / $1,605.00 / $2,497.78	Professional		$1,443.00	$1,605.00	$2,497.78
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,109.31 / $1,467.78 / $2,577.02	Facility		$1,109.31	$1,467.78	$2,577.02
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,109.31 / $1,467.78 / $2,577.02	Professional		$1,109.31	$1,467.78	$2,577.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $3,295.00 / $5,790.00	Facility		$1,713.00	$3,295.00	$5,790.00
United Facility/Professional Professional Modifier Low / Median / High Price $896.18 / $1,552.67 / $2,325.82	Professional		$896.18	$1,552.67	$2,325.82