Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,853.86 / $5,412.00 / $11,425.00	Facility		$1,853.86	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.77 / $1,853.86 / $2,069.60	Professional		$1,621.77	$1,853.86	$2,069.60
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 $1,554.14 / $1,987.40 / $2,725.71	Professional		$1,554.14	$1,987.40	$2,725.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,900.36 / $2,682.13 / $9,211.00	Professional		$1,900.36	$2,682.13	$9,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,642.60 / $2,303.17 / $4,120.42	Professional		$1,642.60	$2,303.17	$4,120.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,595.81 / $1,914.97 / $2,309.31	Professional		$1,595.81	$1,914.97	$2,309.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,847.45 / $2,242.29 / $3,070.25	Facility		$1,847.45	$2,242.29	$3,070.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,055.00 / $2,313.01 / $3,948.31	Professional		$2,055.00	$2,313.01	$3,948.31
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,724.84 / $2,221.30 / $7,420.00	Facility		$1,724.84	$2,221.30	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,724.84 / $2,221.30 / $7,420.00	Professional		$1,724.84	$2,221.30	$7,420.00
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 $1,395.14 / $2,306.23 / $3,662.93	Professional		$1,395.14	$2,306.23	$3,662.93