Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,435.05 / $5,360.00 / $9,975.00	Facility		$1,435.05	$5,360.00	$9,975.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,245.96 / $1,327.87 / $1,490.61	Professional		$1,245.96	$1,327.87	$1,490.61
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 $1,083.32 / $1,385.33 / $1,899.98	Professional		$1,083.32	$1,385.33	$1,899.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,266.58 / $1,877.63 / $13,882.00	Professional		$1,266.58	$1,877.63	$13,882.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,135.33 / $1,675.68 / $2,786.45	Professional		$1,135.33	$1,675.68	$2,786.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,107.65 / $1,329.18 / $1,639.32	Professional		$1,107.65	$1,329.18	$1,639.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,245.96 / $1,566.86 / $2,280.11	Facility		$1,245.96	$1,566.86	$2,280.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,620.00 / $1,877.00 / $2,937.00	Professional		$1,620.00	$1,877.00	$2,937.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,107.66 / $1,689.50 / $6,585.00	Facility		$1,107.66	$1,689.50	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,107.66 / $1,689.50 / $6,585.00	Professional		$1,107.66	$1,689.50	$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 $934.58 / $1,478.88 / $2,463.33	Professional		$934.58	$1,478.88	$2,463.33