Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,299.19 / $5,412.00 / $11,024.00	Facility		$1,299.19	$5,412.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,157.79 / $1,299.19 / $1,538.00	Professional		$1,157.79	$1,299.19	$1,538.00
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 $1,118.04 / $1,429.73 / $1,960.87	Professional		$1,118.04	$1,429.73	$1,960.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $794.00 / $1,369.69 / $2,238.50	Professional		$794.00	$1,369.69	$2,238.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,004.03 / $1,426.23 / $2,913.01	Professional		$1,004.03	$1,426.23	$2,913.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,153.64 / $1,384.37 / $1,707.39	Professional		$1,153.64	$1,384.37	$1,707.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,253.52 / $1,495.88 / $2,312.17	Facility		$1,253.52	$1,495.88	$2,312.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,207.00 / $1,534.00 / $2,453.00	Professional		$1,207.00	$1,534.00	$2,453.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,012.52 / $1,449.76 / $6,585.00	Facility		$1,012.52	$1,449.76	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,012.52 / $1,449.76 / $6,585.00	Professional		$1,012.52	$1,449.76	$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 $910.37 / $1,376.82 / $2,575.23	Professional		$910.37	$1,376.82	$2,575.23