Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.34 / $5,980.00 / $14,867.45	Facility		$1,230.34	$5,980.00	$14,867.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,105.67 / $1,230.34 / $1,344.23	Professional		$1,105.67	$1,230.34	$1,344.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,671.00 / $14,927.78 / $20,791.37	Facility		$8,671.00	$14,927.78	$20,791.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $992.96 / $1,269.78 / $1,741.50	Professional		$992.96	$1,269.78	$1,741.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,243.96 / $1,393.24 / $2,425.71	Professional		$1,243.96	$1,393.24	$2,425.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,092.92 / $1,454.05 / $2,696.22	Professional		$1,092.92	$1,454.05	$2,696.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,029.25 / $1,235.09 / $1,523.29	Professional		$1,029.25	$1,235.09	$1,523.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,166.88 / $1,504.48 / $2,105.05	Facility		$1,166.88	$1,504.48	$2,105.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,403.00 / $1,584.00 / $2,524.58	Professional		$1,403.00	$1,584.00	$2,524.58
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,065.56 / $1,434.32 / $2,598.69	Facility		$1,065.56	$1,434.32	$2,598.69
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,065.56 / $1,434.32 / $2,598.69	Professional		$1,065.56	$1,434.32	$2,598.69
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 $908.60 / $1,443.53 / $2,347.86	Professional		$908.60	$1,443.53	$2,347.86