Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,955.95 / $3,645.00 / $8,294.00	Facility		$1,955.95	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,640.83 / $1,955.95 / $2,138.03	Professional		$1,640.83	$1,955.95	$2,138.03
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 $1,599.01 / $2,044.78 / $2,804.41	Professional		$1,599.01	$2,044.78	$2,804.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,978.66 / $2,846.75 / $7,369.00	Professional		$1,978.66	$2,846.75	$7,369.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,634.31 / $2,311.58 / $4,235.53	Professional		$1,634.31	$2,311.58	$4,235.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,641.80 / $1,970.16 / $2,429.86	Professional		$1,641.80	$1,970.16	$2,429.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,920.62 / $2,317.51 / $3,465.45	Facility		$1,920.62	$2,317.51	$3,465.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,109.44 / $2,483.00 / $4,068.55	Professional		$2,109.44	$2,483.00	$4,068.55
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,546.99 / $2,236.67 / $7,447.92	Facility		$1,546.99	$2,236.67	$7,447.92
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,546.99 / $2,236.67 / $7,447.92	Professional		$1,546.99	$2,236.67	$7,447.92
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 $1,331.44 / $2,187.32 / $3,744.39	Professional		$1,331.44	$2,187.32	$3,744.39