Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,252.83 / $4,771.00 / $10,767.00	Facility		$1,252.83	$4,771.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,121.28 / $1,252.83 / $1,624.44	Professional		$1,121.28	$1,252.83	$1,624.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,738.20 / $20,977.18 / $29,216.95	Facility		$12,738.20	$20,977.18	$29,216.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,128.50 / $1,443.10 / $1,979.21	Professional		$1,128.50	$1,443.10	$1,979.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,180.58 / $1,381.76 / $2,302.13	Professional		$1,180.58	$1,381.76	$2,302.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $991.19 / $1,407.73 / $2,977.18	Professional		$991.19	$1,407.73	$2,977.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,137.59 / $1,365.12 / $1,689.53	Professional		$1,137.59	$1,365.12	$1,689.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,229.55 / $1,448.37 / $2,203.67	Facility		$1,229.55	$1,448.37	$2,203.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,184.00 / $1,530.00 / $2,375.00	Professional		$1,184.00	$1,530.00	$2,375.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,017.68 / $1,433.75 / $2,987.71	Facility		$1,017.68	$1,433.75	$2,987.71
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,017.68 / $1,433.75 / $2,987.71	Professional		$1,017.68	$1,433.75	$2,987.71
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 $927.85 / $1,417.02 / $2,635.69	Professional		$927.85	$1,417.02	$2,635.69