Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,987.66 / $5,087.00 / $8,920.00	Facility		$1,987.66	$5,087.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,419.51 / $1,987.66 / $2,134.76	Professional		$1,419.51	$1,987.66	$2,134.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,671.00 / $14,495.61 / $20,189.45	Facility		$8,671.00	$14,495.61	$20,189.45
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 $1,958.89 / $2,193.96 / $3,819.84	Professional		$1,958.89	$2,193.96	$3,819.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,607.46 / $2,192.29 / $4,241.04	Professional		$1,607.46	$2,192.29	$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 $2,009.00 / $2,406.00 / $3,900.00	Professional		$2,009.00	$2,406.00	$3,900.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,664.37 / $2,178.00 / $6,246.00	Facility		$1,664.37	$2,178.00	$6,246.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,664.37 / $2,178.00 / $6,246.00	Professional		$1,664.37	$2,178.00	$6,246.00
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 $1,407.75 / $2,201.90 / $3,749.25	Professional		$1,407.75	$2,201.90	$3,749.25