Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,397.41 / $5,412.00 / $13,209.00	Facility		$1,397.41	$5,412.00	$13,209.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,131.32 / $1,397.41 / $2,013.25	Professional		$1,131.32	$1,397.41	$2,013.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,125.04 / $1,432.37 / $1,996.45	Professional		$1,125.04	$1,432.37	$1,996.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,348.95 / $1,821.08 / $9,638.00	Professional		$1,348.95	$1,821.08	$9,638.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,200.42 / $1,591.04 / $2,864.95	Professional		$1,200.42	$1,591.04	$2,864.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,171.14 / $1,405.37 / $1,733.29	Professional		$1,171.14	$1,405.37	$1,733.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,343.50 / $1,684.42 / $2,376.46	Facility		$1,343.50	$1,684.42	$2,376.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,559.00 / $1,737.00 / $2,871.22	Professional		$1,559.00	$1,737.00	$2,871.22
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,171.15 / $1,590.40 / $7,420.00	Facility		$1,171.15	$1,590.40	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,171.15 / $1,590.40 / $7,420.00	Professional		$1,171.15	$1,590.40	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,373.00 / $17,192.00	Facility		$6,303.00	$9,373.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,110.17 / $1,666.14 / $2,753.54	Professional		$1,110.17	$1,666.14	$2,753.54