Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,393.31 / $5,412.00 / $11,024.00	Facility		$1,393.31	$5,412.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,176.70 / $1,393.31 / $1,955.77	Professional		$1,176.70	$1,393.31	$1,955.77
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 $1,102.26 / $1,403.38 / $1,956.03	Professional		$1,102.26	$1,403.38	$1,956.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,390.47 / $1,931.58 / $9,638.00	Professional		$1,390.47	$1,931.58	$9,638.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,223.95 / $1,677.27 / $2,824.58	Professional		$1,223.95	$1,677.27	$2,824.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,126.76 / $1,352.11 / $1,667.60	Professional		$1,126.76	$1,352.11	$1,667.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,393.31 / $1,703.11 / $2,354.69	Facility		$1,393.31	$1,703.11	$2,354.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,565.00 / $1,760.17 / $2,775.94	Professional		$1,565.00	$1,760.17	$2,775.94
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,263.33 / $1,664.98 / $9,929.00	Facility		$1,263.33	$1,664.98	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,263.33 / $1,664.98 / $9,929.00	Professional		$1,263.33	$1,664.98	$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 $1,084.64 / $1,784.45 / $2,678.43	Professional		$1,084.64	$1,784.45	$2,678.43