Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,418.28 / $4,771.00 / $9,539.00	Facility		$1,418.28	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,180.63 / $1,418.28 / $1,551.34	Professional		$1,180.63	$1,418.28	$1,551.34
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 $1,148.47 / $1,468.64 / $2,014.23	Professional		$1,148.47	$1,468.64	$2,014.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,437.34 / $1,609.82 / $2,802.81	Professional		$1,437.34	$1,609.82	$2,802.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,262.77 / $1,676.15 / $3,112.12	Professional		$1,262.77	$1,676.15	$3,112.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,190.90 / $1,429.08 / $1,762.53	Professional		$1,190.90	$1,429.08	$1,762.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,351.09 / $1,741.50 / $2,434.14	Facility		$1,351.09	$1,741.50	$2,434.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,572.00 / $1,742.00 / $2,920.08	Professional		$1,572.00	$1,742.00	$2,920.08
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,261.95 / $1,677.57 / $2,998.85	Facility		$1,261.95	$1,677.57	$2,998.85
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,261.95 / $1,677.57 / $2,998.85	Professional		$1,261.95	$1,677.57	$2,998.85
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 $1,068.53 / $1,697.98 / $2,751.24	Professional		$1,068.53	$1,697.98	$2,751.24