Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,535.71 / $5,360.00 / $9,975.00	Facility		$1,535.71	$5,360.00	$9,975.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,170.09 / $1,211.69 / $1,535.71	Professional		$1,170.09	$1,211.69	$1,535.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,138.33 / $1,455.67 / $1,996.45	Professional		$1,138.33	$1,455.67	$1,996.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,348.33 / $2,023.79 / $5,895.00	Professional		$1,348.33	$2,023.79	$5,895.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,013.84 / $1,438.62 / $2,953.88	Professional		$1,013.84	$1,438.62	$2,953.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,163.59 / $1,396.32 / $1,722.13	Professional		$1,163.59	$1,396.32	$1,722.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,211.69 / $1,535.71 / $2,177.78	Facility		$1,211.69	$1,535.71	$2,177.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,244.00 / $1,485.00 / $2,465.00	Professional		$1,244.00	$1,485.00	$2,465.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $980.45 / $1,470.06 / $4,283.00	Facility		$980.45	$1,470.06	$4,283.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $980.45 / $1,470.06 / $4,283.00	Professional		$980.45	$1,470.06	$4,283.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $7,061.00 / $12,739.00	Facility		$4,349.00	$7,061.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $856.64 / $1,409.46 / $2,459.82	Professional		$856.64	$1,409.46	$2,459.82