Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,279.84 / $4,771.00 / $10,767.00	Facility		$1,279.84	$4,771.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,063.06 / $1,279.84 / $2,119.71	Professional		$1,063.06	$1,279.84	$2,119.71
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 $1,029.83 / $1,316.94 / $1,806.18	Professional		$1,029.83	$1,316.94	$1,806.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,293.45 / $1,448.66 / $2,522.23	Professional		$1,293.45	$1,448.66	$2,522.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,132.75 / $1,512.55 / $2,803.84	Professional		$1,132.75	$1,512.55	$2,803.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,066.32 / $1,279.58 / $1,578.15	Professional		$1,066.32	$1,279.58	$1,578.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,207.05 / $1,562.75 / $2,230.10	Facility		$1,207.05	$1,562.75	$2,230.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,424.00 / $1,614.00 / $2,617.75	Professional		$1,424.00	$1,614.00	$2,617.75
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,142.33 / $1,519.30 / $2,702.46	Facility		$1,142.33	$1,519.30	$2,702.46
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,142.33 / $1,519.30 / $2,702.46	Professional		$1,142.33	$1,519.30	$2,702.46
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 $947.06 / $1,557.40 / $2,478.71	Professional		$947.06	$1,557.40	$2,478.71