Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,925.40 / $5,412.00 / $11,024.00	Facility		$1,925.40	$5,412.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,678.00 / $1,925.40 / $2,299.65	Professional		$1,678.00	$1,925.40	$2,299.65
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 $1,600.55 / $2,046.74 / $2,807.10	Professional		$1,600.55	$2,046.74	$2,807.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,946.33 / $2,720.69 / $9,211.00	Professional		$1,946.33	$2,720.69	$9,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,695.43 / $2,370.35 / $4,224.01	Professional		$1,695.43	$2,370.35	$4,224.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,649.61 / $1,979.53 / $2,376.36	Professional		$1,649.61	$1,979.53	$2,376.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,901.09 / $2,297.06 / $3,145.40	Facility		$1,901.09	$2,297.06	$3,145.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,099.00 / $2,347.00 / $4,063.46	Professional		$2,099.00	$2,347.00	$4,063.46
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,763.20 / $2,289.48 / $7,426.42	Facility		$1,763.20	$2,289.48	$7,426.42
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,763.20 / $2,289.48 / $7,426.42	Professional		$1,763.20	$2,289.48	$7,426.42
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 $1,426.52 / $2,453.67 / $3,747.28	Professional		$1,426.52	$2,453.67	$3,747.28