Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,381.24 / $5,087.00 / $8,925.00	Facility		$1,381.24	$5,087.00	$8,925.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,203.63 / $1,381.24 / $1,518.95	Professional		$1,203.63	$1,381.24	$1,518.95
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 $1,130.33 / $1,445.45 / $1,982.43	Professional		$1,130.33	$1,445.45	$1,982.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,297.47 / $1,903.13 / $13,882.00	Professional		$1,297.47	$1,903.13	$13,882.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.11 / $1,639.80 / $3,026.16	Professional		$1,202.11	$1,639.80	$3,026.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,160.47 / $1,392.56 / $1,717.50	Professional		$1,160.47	$1,392.56	$1,717.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,381.24 / $1,681.13 / $2,486.87	Facility		$1,381.24	$1,681.13	$2,486.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,558.00 / $1,741.00 / $2,866.58	Professional		$1,558.00	$1,741.00	$2,866.58
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,255.10 / $1,637.92 / $5,745.52	Facility		$1,255.10	$1,637.92	$5,745.52
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,255.10 / $1,637.92 / $5,745.52	Professional		$1,255.10	$1,637.92	$5,745.52
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 $997.10 / $1,733.92 / $2,658.85	Professional		$997.10	$1,733.92	$2,658.85