Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,666.69 / $5,412.00 / $10,767.00	Facility		$1,666.69	$5,412.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,280.17 / $1,321.85 / $1,666.69	Professional		$1,280.17	$1,321.85	$1,666.69
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 $1,239.75 / $1,585.36 / $2,174.32	Professional		$1,239.75	$1,585.36	$2,174.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,464.48 / $2,196.09 / $9,211.00	Professional		$1,464.48	$2,196.09	$9,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,113.85 / $1,639.83 / $3,236.48	Professional		$1,113.85	$1,639.83	$3,236.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,268.40 / $1,522.08 / $1,877.23	Professional		$1,268.40	$1,522.08	$1,877.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,321.85 / $1,666.69 / $2,418.98	Facility		$1,321.85	$1,666.69	$2,418.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,504.00 / $1,712.00 / $2,707.00	Professional		$1,504.00	$1,712.00	$2,707.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,122.33 / $1,610.75 / $6,585.00	Facility		$1,122.33	$1,610.75	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,122.33 / $1,610.75 / $6,585.00	Professional		$1,122.33	$1,610.75	$6,585.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,693.00 / $11,671.00 / $21,639.00	Facility		$6,693.00	$11,671.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,011.86 / $1,655.54 / $2,651.63	Professional		$1,011.86	$1,655.54	$2,651.63