Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,155.10 / $6,705.00 / $14,798.00	Facility		$2,155.10	$6,705.00	$14,798.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,418.66 / $1,757.14 / $2,310.67	Professional		$1,418.66	$1,757.14	$2,310.67
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 $1,617.15 / $2,067.96 / $2,836.22	Professional		$1,617.15	$2,067.96	$2,836.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,896.81 / $2,833.55 / $9,211.00	Professional		$1,896.81	$2,833.55	$9,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,534.10 / $2,098.19 / $4,282.43	Professional		$1,534.10	$2,098.19	$4,282.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,657.39 / $1,988.87 / $2,452.94	Professional		$1,657.39	$1,988.87	$2,452.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,757.14 / $2,156.94 / $3,215.57	Facility		$1,757.14	$2,156.94	$3,215.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,839.00 / $2,214.00 / $3,646.00	Professional		$1,839.00	$2,214.00	$3,646.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,491.66 / $2,131.48 / $7,530.50	Facility		$1,491.66	$2,131.48	$7,530.50
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,491.66 / $2,131.48 / $7,530.50	Professional		$1,491.66	$2,131.48	$7,530.50
United Facility/Professional Facility Modifier Low / Median / High Price $6,398.00 / $10,439.00 / $21,639.00	Facility		$6,398.00	$10,439.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.22 / $2,125.34 / $3,566.18	Professional		$1,348.22	$2,125.34	$3,566.18