Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,389.19 / $5,028.00 / $10,637.11	Facility		$1,389.19	$5,028.00	$10,637.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,203.91 / $1,468.73 / $1,808.80	Professional		$1,203.91	$1,468.73	$1,808.80
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 $1,165.83 / $1,558.31 / $2,300.10	Professional		$1,165.83	$1,558.31	$2,300.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,260.32 / $1,839.93 / $5,895.00	Professional		$1,260.32	$1,839.93	$5,895.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,194.93 / $1,667.12 / $3,224.57	Professional		$1,194.93	$1,667.12	$3,224.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,435.50 / $1,722.60 / $2,124.54	Professional		$1,435.50	$1,722.60	$2,124.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,307.19 / $1,720.09 / $2,544.23	Facility		$1,307.19	$1,720.09	$2,544.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,618.00 / $1,904.00 / $2,795.00	Professional		$1,618.00	$1,904.00	$2,795.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,161.72 / $1,487.16 / $6,585.00	Facility		$1,161.72	$1,487.16	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,359.53 / $1,825.55 / $7,009.33	Professional		$1,359.53	$1,825.55	$7,009.33
United Facility/Professional Facility Modifier Low / Median / High Price $6,693.00 / $11,671.00 / $21,639.00	Facility		$6,693.00	$11,671.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,167.57 / $1,817.31 / $3,079.69	Professional		$1,167.57	$1,817.31	$3,079.69