Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,477.89 / $4,771.00 / $9,539.00	Facility		$1,477.89	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,083.50 / $1,477.89 / $1,595.82	Professional		$1,083.50	$1,477.89	$1,595.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,671.00 / $14,495.61 / $20,189.45	Facility		$8,671.00	$14,495.61	$20,189.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,204.09 / $1,539.77 / $2,111.79	Professional		$1,204.09	$1,539.77	$2,111.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,505.82 / $1,686.52 / $2,936.35	Professional		$1,505.82	$1,686.52	$2,936.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,240.07 / $1,700.58 / $3,170.16	Professional		$1,240.07	$1,700.58	$3,170.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,234.73 / $1,481.68 / $1,827.40	Professional		$1,234.73	$1,481.68	$1,827.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,224.35 / $1,709.06 / $2,497.63	Facility		$1,224.35	$1,709.06	$2,497.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,535.00 / $1,816.00 / $3,045.70	Professional		$1,535.00	$1,816.00	$3,045.70
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,248.29 / $1,667.75 / $9,929.00	Facility		$1,248.29	$1,667.75	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,248.29 / $1,667.75 / $9,929.00	Professional		$1,248.29	$1,667.75	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $12,301.00 / $20,974.00 / $40,876.00	Facility		$12,301.00	$20,974.00	$40,876.00
United Facility/Professional Professional Modifier Low / Median / High Price $992.91 / $1,540.51 / $2,911.77	Professional		$992.91	$1,540.51	$2,911.77