Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,482.65 / $5,360.00 / $9,975.00	Facility		$1,482.65	$5,360.00	$9,975.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,166.76 / $1,287.18 / $1,538.00	Professional		$1,166.76	$1,287.18	$1,538.00
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 $1,121.11 / $1,433.66 / $1,966.26	Professional		$1,121.11	$1,433.66	$1,966.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,309.61 / $1,941.90 / $15,962.00	Professional		$1,309.61	$1,941.90	$15,962.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,141.63 / $1,521.22 / $2,886.42	Professional		$1,141.63	$1,521.22	$2,886.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,145.94 / $1,375.13 / $1,695.99	Professional		$1,145.94	$1,375.13	$1,695.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,287.18 / $1,589.88 / $2,294.09	Facility		$1,287.18	$1,589.88	$2,294.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,437.98 / $1,656.00 / $2,826.00	Professional		$1,437.98	$1,656.00	$2,826.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,167.86 / $1,507.25 / $6,585.00	Facility		$1,167.86	$1,507.25	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,167.86 / $1,507.25 / $6,585.00	Professional		$1,167.86	$1,507.25	$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 $958.10 / $1,472.12 / $2,551.71	Professional		$958.10	$1,472.12	$2,551.71