Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,333.23 / $4,771.00 / $9,539.00	Facility		$1,333.23	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,102.16 / $1,333.23 / $1,880.16	Professional		$1,102.16	$1,333.23	$1,880.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,955.00 / $11,210.00 / $17,424.00	Facility		$8,955.00	$11,210.00	$17,424.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,063.99 / $1,354.65 / $1,888.11	Professional		$1,063.99	$1,354.65	$1,888.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,424.56 / $1,530.84 / $2,985.14	Professional		$1,424.56	$1,530.84	$2,985.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,156.42 / $1,570.08 / $2,681.86	Professional		$1,156.42	$1,570.08	$2,681.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,094.60 / $1,313.53 / $1,620.02	Professional		$1,094.60	$1,313.53	$1,620.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,281.58 / $1,636.23 / $2,361.35	Facility		$1,281.58	$1,636.23	$2,361.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,481.00 / $1,672.31 / $2,691.58	Professional		$1,481.00	$1,672.31	$2,691.58
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,158.41 / $1,578.65 / $20,487.00	Facility		$1,158.41	$1,578.65	$20,487.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,158.41 / $1,578.65 / $20,487.00	Professional		$1,158.41	$1,578.65	$20,487.00
United Facility/Professional Facility Modifier Low / Median / High Price $13,091.00 / $26,218.00 / $64,092.00	Facility		$13,091.00	$26,218.00	$64,092.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,041.10 / $1,619.21 / $2,434.31	Professional		$1,041.10	$1,619.21	$2,434.31