Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,528.09 / $5,360.00 / $9,975.00	Facility		$1,528.09	$5,360.00	$9,975.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,335.59 / $1,412.92 / $1,528.09	Professional		$1,335.59	$1,412.92	$1,528.09
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 $1,154.92 / $1,476.89 / $2,025.55	Professional		$1,154.92	$1,476.89	$2,025.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,348.08 / $1,998.12 / $15,962.00	Professional		$1,348.08	$1,998.12	$15,962.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,219.06 / $1,712.19 / $2,980.93	Professional		$1,219.06	$1,712.19	$2,980.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,181.25 / $1,417.50 / $1,748.25	Professional		$1,181.25	$1,417.50	$1,748.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,335.59 / $1,660.11 / $2,444.13	Facility		$1,335.59	$1,660.11	$2,444.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,553.00 / $1,968.00 / $3,111.00	Professional		$1,553.00	$1,968.00	$3,111.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,236.32 / $1,776.21 / $6,585.00	Facility		$1,236.32	$1,776.21	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,236.32 / $1,776.21 / $6,585.00	Professional		$1,236.32	$1,776.21	$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 $989.48 / $1,569.02 / $2,666.07	Professional		$989.48	$1,569.02	$2,666.07