Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,411.94 / $5,028.00 / $10,637.11	Facility		$1,411.94	$5,028.00	$10,637.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,319.59 / $1,459.41 / $1,761.91	Professional		$1,319.59	$1,459.41	$1,761.91
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 $1,180.83 / $1,574.67 / $2,279.78	Professional		$1,180.83	$1,574.67	$2,279.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,280.95 / $1,874.32 / $5,895.00	Professional		$1,280.95	$1,874.32	$5,895.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,265.98 / $1,786.24 / $3,280.25	Professional		$1,265.98	$1,786.24	$3,280.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,407.93 / $1,689.52 / $2,083.73	Professional		$1,407.93	$1,689.52	$2,083.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,407.28 / $1,821.14 / $2,698.05	Facility		$1,407.28	$1,821.14	$2,698.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,830.00 / $2,075.00 / $2,919.00	Professional		$1,830.00	$2,075.00	$2,919.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,218.90 / $1,640.36 / $6,585.00	Facility		$1,218.90	$1,640.36	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,474.21 / $1,928.09 / $6,880.88	Professional		$1,474.21	$1,928.09	$6,880.88
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 $1,202.96 / $1,935.88 / $3,203.83	Professional		$1,202.96	$1,935.88	$3,203.83