Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,150.70 / $5,087.00 / $8,294.00	Facility		$1,150.70	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,022.26 / $1,150.70 / $2,080.26	Professional		$1,022.26	$1,150.70	$2,080.26
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 $925.05 / $1,182.93 / $1,622.38	Professional		$925.05	$1,182.93	$1,622.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,107.44 / $1,602.59 / $11,515.00	Professional		$1,107.44	$1,602.59	$11,515.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,011.85 / $1,359.92 / $2,517.09	Professional		$1,011.85	$1,359.92	$2,517.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $958.64 / $1,150.36 / $1,418.79	Professional		$958.64	$1,150.36	$1,418.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,086.56 / $1,412.22 / $2,071.76	Facility		$1,086.56	$1,412.22	$2,071.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,275.00 / $1,413.30 / $2,351.76	Professional		$1,275.00	$1,413.30	$2,351.76
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,043.93 / $1,368.30 / $5,122.00	Facility		$1,043.93	$1,368.30	$5,122.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,043.93 / $1,368.30 / $5,122.00	Professional		$1,043.93	$1,368.30	$5,122.00
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 $883.55 / $1,390.79 / $2,191.46	Professional		$883.55	$1,390.79	$2,191.46