Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,147.97 / $4,771.00 / $9,539.00	Facility		$1,147.97	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,117.85 / $1,147.97 / $1,611.50	Professional		$1,117.85	$1,147.97	$1,611.50
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 $910.30 / $1,158.97 / $1,615.38	Professional		$910.30	$1,158.97	$1,615.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,093.00 / $1,713.68 / $8,031.00	Professional		$1,093.00	$1,713.68	$8,031.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $988.47 / $1,424.53 / $2,324.65	Professional		$988.47	$1,424.53	$2,324.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $932.32 / $1,118.78 / $1,379.83	Professional		$932.32	$1,118.78	$1,379.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,147.97 / $1,408.87 / $2,100.79	Facility		$1,147.97	$1,408.87	$2,100.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,397.00 / $1,597.00 / $2,294.06	Professional		$1,397.00	$1,597.00	$2,294.06
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,050.91 / $1,476.23 / $9,929.00	Facility		$1,050.91	$1,476.23	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,050.91 / $1,476.23 / $9,929.00	Professional		$1,050.91	$1,476.23	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $8,367.00 / $13,296.00 / $26,537.00	Facility		$8,367.00	$13,296.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $894.13 / $1,472.05 / $2,217.69	Professional		$894.13	$1,472.05	$2,217.69