Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,316.08 / $4,771.00 / $9,539.00	Facility		$1,316.08	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,090.49 / $1,316.08 / $1,369.75	Professional		$1,090.49	$1,316.08	$1,369.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,671.00 / $14,927.78 / $20,791.37	Facility		$8,671.00	$14,927.78	$20,791.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,055.66 / $1,349.96 / $1,851.47	Professional		$1,055.66	$1,349.96	$1,851.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,328.57 / $1,489.48 / $2,593.29	Professional		$1,328.57	$1,489.48	$2,593.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,161.55 / $1,555.37 / $2,893.75	Professional		$1,161.55	$1,555.37	$2,893.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,093.43 / $1,312.12 / $1,618.28	Professional		$1,093.43	$1,312.12	$1,618.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,237.66 / $1,615.19 / $2,233.37	Facility		$1,237.66	$1,615.19	$2,233.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,457.00 / $1,615.00 / $2,683.34	Professional		$1,457.00	$1,615.00	$2,683.34
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,138.05 / $1,558.20 / $2,788.31	Facility		$1,138.05	$1,558.20	$2,788.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,138.05 / $1,558.20 / $2,788.31	Professional		$1,138.05	$1,558.20	$2,788.31
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 $1,015.71 / $1,557.42 / $2,519.25	Professional		$1,015.71	$1,557.42	$2,519.25