Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,206.24 / $5,087.00 / $8,925.00	Facility		$1,206.24	$5,087.00	$8,925.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,052.00 / $1,206.24 / $1,498.02	Professional		$1,052.00	$1,206.24	$1,498.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,955.00 / $11,210.00 / $17,424.00	Facility		$8,955.00	$11,210.00	$17,424.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $990.20 / $1,266.25 / $1,736.66	Professional		$990.20	$1,266.25	$1,736.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,138.01 / $1,669.06 / $7,369.00	Professional		$1,138.01	$1,669.06	$7,369.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,052.52 / $1,425.55 / $2,642.64	Professional		$1,052.52	$1,425.55	$2,642.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,015.52 / $1,218.61 / $1,502.97	Professional		$1,015.52	$1,218.61	$1,502.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,206.24 / $1,463.44 / $2,154.01	Facility		$1,206.24	$1,463.44	$2,154.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,347.00 / $1,519.00 / $2,511.34	Professional		$1,347.00	$1,519.00	$2,511.34
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,096.00 / $1,429.52 / $5,122.00	Facility		$1,096.00	$1,429.52	$5,122.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,096.00 / $1,429.52 / $5,122.00	Professional		$1,096.00	$1,429.52	$5,122.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,373.00 / $17,192.00	Facility		$6,303.00	$9,373.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $877.18 / $1,497.60 / $2,324.50	Professional		$877.18	$1,497.60	$2,324.50