Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,538.00 / $5,360.00 / $9,975.00	Facility		$1,538.00	$5,360.00	$9,975.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $991.20 / $1,438.25 / $1,991.42	Professional		$991.20	$1,438.25	$1,991.42
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 $1,187.18 / $1,510.66 / $2,108.57	Professional		$1,187.18	$1,510.66	$2,108.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,224.09 / $1,652.54 / $6,694.00	Professional		$1,224.09	$1,652.54	$6,694.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,003.70 / $1,440.94 / $2,890.66	Professional		$1,003.70	$1,440.94	$2,890.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,206.36 / $1,447.64 / $1,788.21	Professional		$1,206.36	$1,447.64	$1,788.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,222.51 / $1,675.13 / $2,430.64	Facility		$1,222.51	$1,675.13	$2,430.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,225.00 / $1,420.00 / $2,870.00	Professional		$1,225.00	$1,420.00	$2,870.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,036.58 / $1,544.42 / $9,929.00	Facility		$1,036.58	$1,544.42	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,036.58 / $1,544.42 / $9,929.00	Professional		$1,036.58	$1,544.42	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $11,872.00 / $26,537.00	Facility		$7,408.00	$11,872.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $880.27 / $1,305.46 / $2,623.83	Professional		$880.27	$1,305.46	$2,623.83