Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,342.89 / $5,360.00 / $9,975.00	Facility		$1,342.89	$5,360.00	$9,975.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.81 / $1,156.68 / $1,412.10	Professional		$1,047.81	$1,156.68	$1,412.10
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 $1,011.10 / $1,292.97 / $1,773.30	Professional		$1,011.10	$1,292.97	$1,773.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,184.36 / $1,758.28 / $11,515.00	Professional		$1,184.36	$1,758.28	$11,515.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $950.18 / $1,366.98 / $2,590.39	Professional		$950.18	$1,366.98	$2,590.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,033.64 / $1,240.36 / $1,529.79	Professional		$1,033.64	$1,240.36	$1,529.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,156.68 / $1,422.66 / $2,056.85	Facility		$1,156.68	$1,422.66	$2,056.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,276.01 / $1,459.00 / $2,529.00	Professional		$1,276.01	$1,459.00	$2,529.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,003.68 / $1,357.10 / $6,585.00	Facility		$1,003.68	$1,357.10	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,003.68 / $1,357.10 / $6,585.00	Professional		$1,003.68	$1,357.10	$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 $859.85 / $1,338.57 / $2,290.02	Professional		$859.85	$1,338.57	$2,290.02