Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,446.10 / $5,360.00 / $9,975.00	Facility		$1,446.10	$5,360.00	$9,975.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,087.74 / $1,259.03 / $1,446.10	Professional		$1,087.74	$1,259.03	$1,446.10
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 $1,091.61 / $1,395.94 / $1,914.53	Professional		$1,091.61	$1,395.94	$1,914.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,276.03 / $1,891.56 / $13,882.00	Professional		$1,276.03	$1,891.56	$13,882.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,094.06 / $1,487.94 / $2,809.70	Professional		$1,094.06	$1,487.94	$2,809.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,116.44 / $1,339.73 / $1,652.33	Professional		$1,116.44	$1,339.73	$1,652.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,259.03 / $1,545.17 / $2,238.31	Facility		$1,259.03	$1,545.17	$2,238.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,394.93 / $1,579.00 / $2,752.00	Professional		$1,394.93	$1,579.00	$2,752.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,091.71 / $1,464.17 / $6,585.00	Facility		$1,091.71	$1,464.17	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,091.71 / $1,464.17 / $6,585.00	Professional		$1,091.71	$1,464.17	$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 $924.97 / $1,476.97 / $2,517.09	Professional		$924.97	$1,476.97	$2,517.09