Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $5,495.41 / $10,000.00	Facility		$1,513.56	$5,495.41	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,479.11 / $2,951.21	Professional		$1,202.26	$1,479.11	$2,951.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $7,413.10 / $9,332.54	Facility		$6,606.93	$7,413.10	$9,332.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $2,290.87	Professional		$1,202.26	$1,584.89	$2,290.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,995.26 / $16,595.87	Professional		$1,288.25	$1,995.26	$16,595.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,659.59 / $2,691.53	Professional		$1,174.90	$1,659.59	$2,691.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,348.96 / $3,388.44	Professional		$1,071.52	$1,348.96	$3,388.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,862.09 / $2,951.21	Professional		$1,348.96	$1,862.09	$2,951.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $2,754.23	Facility		$1,230.27	$1,659.59	$2,754.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,819.70 / $10,000.00	Facility		$1,071.52	$1,819.70	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,819.70 / $10,000.00	Professional		$1,071.52	$1,819.70	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $11,481.54 / $23,988.33	Facility		$6,760.83	$11,481.54	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,548.82 / $2,570.40	Professional		$954.99	$1,548.82	$2,570.40