Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $3,630.78 / $9,549.93	Facility		$912.01	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,071.52 / $1,584.89	Professional		$912.01	$1,071.52	$1,584.89
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 $1,023.29 / $1,380.38 / $1,949.84	Professional		$1,023.29	$1,380.38	$1,949.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $1,698.24	Professional		$1,047.13	$1,318.26	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,288.25 / $2,238.72	Professional		$933.25	$1,288.25	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,202.26 / $3,019.95	Professional		$977.24	$1,202.26	$3,019.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,621.81 / $2,454.71	Professional		$1,288.25	$1,621.81	$2,454.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,445.44 / $2,089.30	Facility		$977.24	$1,445.44	$2,089.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,412.54 / $5,248.07	Facility		$912.01	$1,412.54	$5,248.07
Sentara Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,412.54 / $5,248.07	Professional		$912.01	$1,412.54	$5,248.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,467.37 / $7,079.46	Facility		$1,698.24	$3,467.37	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,288.25 / $2,137.96	Professional		$831.76	$1,288.25	$2,137.96