Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $5,888.44 / $10,964.78	Facility		$1,737.80	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,737.80 / $2,754.23	Professional		$1,380.38	$1,737.80	$2,754.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $7,413.10 / $9,332.54	Facility		$6,606.93	$7,413.10	$9,332.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $2,818.38	Professional		$1,479.11	$1,949.84	$2,818.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,570.40 / $10,000.00	Professional		$1,698.24	$2,570.40	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,905.46 / $3,388.44	Professional		$1,380.38	$1,905.46	$3,388.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,584.89 / $1,949.84	Professional		$1,318.26	$1,584.89	$1,949.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $3,162.28	Facility		$1,513.56	$1,949.84	$3,162.28
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,041.74 / $10,000.00	Facility		$1,445.44	$2,041.74	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,041.74 / $10,000.00	Professional		$1,445.44	$2,041.74	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $11,481.54 / $23,988.33	Facility		$6,760.83	$11,481.54	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,949.84 / $3,235.94	Professional		$1,230.27	$1,949.84	$3,235.94