Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,945.92 / $6,470.00 / $15,165.00	Facility		$1,945.92	$6,470.00	$15,165.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,550.14 / $1,766.94 / $2,811.85	Professional		$1,550.14	$1,766.94	$2,811.85
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 $1,472.39 / $1,882.86 / $2,582.34	Professional		$1,472.39	$1,882.86	$2,582.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,716.54 / $2,555.01 / $6,694.00	Professional		$1,716.54	$2,555.01	$6,694.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.86 / $2,088.21 / $3,947.64	Professional		$1,548.86	$2,088.21	$3,947.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,511.09 / $1,813.31 / $2,236.41	Professional		$1,511.09	$1,813.31	$2,236.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,758.13 / $2,129.35 / $3,196.38	Facility		$1,758.13	$2,129.35	$3,196.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,739.00 / $2,211.00 / $3,726.84	Professional		$1,739.00	$2,211.00	$3,726.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,537.38 / $2,069.14 / $7,420.00	Facility		$1,537.38	$2,069.14	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,537.38 / $2,069.14 / $7,420.00	Professional		$1,537.38	$2,069.14	$7,420.00
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 $1,310.36 / $2,100.48 / $3,489.89	Professional		$1,310.36	$2,100.48	$3,489.89