Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,623.24 / $5,412.00 / $11,425.00	Facility		$1,623.24	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,437.72 / $1,623.24 / $1,819.61	Professional		$1,437.72	$1,623.24	$1,819.61
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 $1,377.12 / $1,761.03 / $2,415.25	Professional		$1,377.12	$1,761.03	$2,415.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,679.30 / $2,326.23 / $9,211.00	Professional		$1,679.30	$2,326.23	$9,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,455.51 / $2,034.83 / $3,619.11	Professional		$1,455.51	$2,034.83	$3,619.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,420.01 / $1,704.01 / $2,050.67	Professional		$1,420.01	$1,704.01	$2,050.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,623.24 / $1,972.94 / $2,707.16	Facility		$1,623.24	$1,972.94	$2,707.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,790.00 / $2,007.00 / $3,497.74	Professional		$1,790.00	$2,007.00	$3,497.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,503.70 / $1,951.40 / $6,871.49	Facility		$1,503.70	$1,951.40	$6,871.49
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,503.70 / $1,951.40 / $6,871.49	Professional		$1,503.70	$1,951.40	$6,871.49
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 $1,216.07 / $2,102.30 / $3,199.44	Professional		$1,216.07	$2,102.30	$3,199.44