Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,277.19 / $5,412.00 / $12,483.29	Facility		$1,277.19	$5,412.00	$12,483.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $959.17 / $1,277.19 / $1,591.13	Professional		$959.17	$1,277.19	$1,591.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,064.57 / $1,361.35 / $1,867.09	Professional		$1,064.57	$1,361.35	$1,867.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,277.43 / $1,858.03 / $11,515.00	Professional		$1,277.43	$1,858.03	$11,515.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,114.36 / $1,514.17 / $2,875.67	Professional		$1,114.36	$1,514.17	$2,875.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,087.19 / $1,304.63 / $1,609.04	Professional		$1,087.19	$1,304.63	$1,609.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,085.60 / $1,524.41 / $2,086.46	Facility		$1,085.60	$1,524.41	$2,086.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,421.00 / $1,608.00 / $2,689.32	Professional		$1,421.00	$1,608.00	$2,689.32
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,146.68 / $1,518.71 / $6,585.00	Facility		$1,146.68	$1,518.71	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,146.68 / $1,518.71 / $6,585.00	Professional		$1,146.68	$1,518.71	$6,585.00
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 $954.54 / $1,558.28 / $2,542.19	Professional		$954.54	$1,558.28	$2,542.19