Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $3,630.78 / $9,549.93	Facility		$1,071.52	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,288.25 / $1,949.84	Professional		$1,071.52	$1,288.25	$1,949.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $16,218.10 / $21,877.62	Facility		$8,709.64	$16,218.10	$21,877.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $2,344.23	Professional		$1,258.93	$1,659.59	$2,344.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,659.59 / $2,137.96	Professional		$1,348.96	$1,659.59	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,584.89 / $2,691.53	Professional		$1,148.15	$1,584.89	$2,691.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,479.11 / $3,715.35	Professional		$1,174.90	$1,479.11	$3,715.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,905.46 / $3,019.95	Professional		$1,513.56	$1,905.46	$3,019.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,698.24 / $2,511.89	Facility		$1,174.90	$1,698.24	$2,511.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,698.24 / $15,135.61	Facility		$1,148.15	$1,698.24	$15,135.61
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,698.24 / $15,135.61	Professional		$1,148.15	$1,698.24	$15,135.61
United Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $17,782.79 / $40,738.03	Facility		$10,471.29	$17,782.79	$40,738.03
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,513.56 / $2,570.40	Professional		$1,000.00	$1,513.56	$2,570.40