Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,577.00 / $5,412.00 / $10,767.00	Facility		$1,577.00	$5,412.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,225.68 / $1,400.18 / $1,689.26	Professional		$1,225.68	$1,400.18	$1,689.26
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 $1,187.20 / $1,518.16 / $2,082.15	Professional		$1,187.20	$1,518.16	$2,082.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,461.82 / $1,990.99 / $7,369.00	Professional		$1,461.82	$1,990.99	$7,369.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,250.03 / $1,654.76 / $3,122.63	Professional		$1,250.03	$1,654.76	$3,122.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,219.73 / $1,463.68 / $1,805.20	Professional		$1,219.73	$1,463.68	$1,805.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,400.18 / $1,710.57 / $2,485.89	Facility		$1,400.18	$1,710.57	$2,485.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,497.30 / $1,762.00 / $2,991.00	Professional		$1,497.30	$1,762.00	$2,991.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,210.74 / $1,603.31 / $6,585.00	Facility		$1,210.74	$1,603.31	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,210.74 / $1,603.31 / $6,585.00	Professional		$1,210.74	$1,603.31	$6,585.00
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 $987.78 / $1,524.66 / $2,808.76	Professional		$987.78	$1,524.66	$2,808.76