Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,354.74 / $4,771.00 / $9,539.00	Facility		$1,354.74	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,164.05 / $1,354.74 / $1,513.66	Professional		$1,164.05	$1,354.74	$1,513.66
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 $1,091.61 / $1,395.94 / $1,914.53	Professional		$1,091.61	$1,395.94	$1,914.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,374.57 / $1,597.93 / $2,782.10	Professional		$1,374.57	$1,597.93	$2,782.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,201.17 / $1,601.05 / $2,968.30	Professional		$1,201.17	$1,601.05	$2,968.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,130.73 / $1,356.88 / $1,673.48	Professional		$1,130.73	$1,356.88	$1,673.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,329.04 / $1,662.63 / $2,440.26	Facility		$1,329.04	$1,662.63	$2,440.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,501.00 / $1,665.00 / $2,774.86	Professional		$1,501.00	$1,665.00	$2,774.86
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,585.83 / $2,860.19	Facility		$1,174.90	$1,585.83	$2,860.19
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,585.83 / $2,860.19	Professional		$1,174.90	$1,585.83	$2,860.19
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 $1,027.52 / $1,552.97 / $2,624.11	Professional		$1,027.52	$1,552.97	$2,624.11