Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,443.59 / $4,032.00 / $8,920.00	Facility		$1,443.59	$4,032.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,443.59 / $1,984.42 / $2,134.76	Professional		$1,443.59	$1,984.42	$2,134.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,605.78 / $2,053.42 / $2,816.27	Professional		$1,605.78	$2,053.42	$2,816.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,936.90 / $2,679.77 / $22,146.00	Professional		$1,936.90	$2,679.77	$22,146.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,610.26 / $2,240.44 / $4,241.04	Professional		$1,610.26	$2,240.44	$4,241.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,646.01 / $1,975.21 / $2,436.09	Professional		$1,646.01	$1,975.21	$2,436.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,631.26 / $2,278.61 / $3,257.12	Facility		$1,631.26	$2,278.61	$3,257.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,084.51 / $2,453.00 / $4,060.49	Professional		$2,084.51	$2,453.00	$4,060.49
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,662.81 / $2,210.56 / $4,891.00	Facility		$1,662.81	$2,210.56	$4,891.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,662.81 / $2,210.56 / $4,891.00	Professional		$1,662.81	$2,210.56	$4,891.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $7,061.00 / $12,739.00	Facility		$4,349.00	$7,061.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,403.63 / $2,131.56 / $3,886.76	Professional		$1,403.63	$2,131.56	$3,886.76