Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,370.09 / $5,360.00 / $9,975.00	Facility		$1,370.09	$5,360.00	$9,975.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,082.84 / $1,209.21 / $1,483.83	Professional		$1,082.84	$1,209.21	$1,483.83
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 $1,039.36 / $1,329.13 / $1,822.90	Professional		$1,039.36	$1,329.13	$1,822.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,211.02 / $1,788.45 / $19,258.00	Professional		$1,211.02	$1,788.45	$19,258.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.05 / $1,429.06 / $2,690.76	Professional		$1,071.05	$1,429.06	$2,690.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,064.78 / $1,277.74 / $1,575.87	Professional		$1,064.78	$1,277.74	$1,575.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,209.21 / $1,486.67 / $2,153.01	Facility		$1,209.21	$1,486.67	$2,153.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,343.00 / $1,514.00 / $2,640.00	Professional		$1,343.00	$1,514.00	$2,640.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,074.91 / $1,412.81 / $6,585.00	Facility		$1,074.91	$1,412.81	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,074.91 / $1,412.81 / $6,585.00	Professional		$1,074.91	$1,412.81	$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 $893.16 / $1,466.57 / $2,401.61	Professional		$893.16	$1,466.57	$2,401.61