Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,608.50 / $5,087.00 / $8,294.00	Facility		$1,608.50	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,379.35 / $1,608.50 / $1,995.06	Professional		$1,379.35	$1,608.50	$1,995.06
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 $1,291.07 / $1,650.99 / $2,264.33	Professional		$1,291.07	$1,650.99	$2,264.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,543.06 / $2,236.51 / $22,146.00	Professional		$1,543.06	$2,236.51	$22,146.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,419.67 / $1,914.32 / $3,523.80	Professional		$1,419.67	$1,914.32	$3,523.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,336.41 / $1,603.69 / $1,977.89	Professional		$1,336.41	$1,603.69	$1,977.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,512.11 / $1,974.08 / $2,897.69	Facility		$1,512.11	$1,974.08	$2,897.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,782.00 / $2,013.38 / $3,281.69	Professional		$1,782.00	$2,013.38	$3,281.69
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,455.20 / $1,912.67 / $6,689.12	Facility		$1,455.20	$1,912.67	$6,689.12
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,455.20 / $1,912.67 / $6,689.12	Professional		$1,455.20	$1,912.67	$6,689.12
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 $1,181.14 / $1,976.65 / $3,062.98	Professional		$1,181.14	$1,976.65	$3,062.98