Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,451.32 / $5,412.00 / $11,425.00	Facility		$1,451.32	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,091.20 / $1,451.32 / $1,632.40	Professional		$1,091.20	$1,451.32	$1,632.40
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 $1,211.48 / $1,549.21 / $2,124.73	Professional		$1,211.48	$1,549.21	$2,124.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,452.41 / $2,123.84 / $19,258.00	Professional		$1,452.41	$2,123.84	$19,258.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,267.53 / $1,729.76 / $3,283.69	Professional		$1,267.53	$1,729.76	$3,283.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,236.60 / $1,483.93 / $1,830.18	Professional		$1,236.60	$1,483.93	$1,830.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,233.61 / $1,735.51 / $2,374.44	Facility		$1,233.61	$1,735.51	$2,374.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,618.00 / $1,833.00 / $3,060.19	Professional		$1,618.00	$1,833.00	$3,060.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,305.53 / $1,730.59 / $6,585.00	Facility		$1,305.53	$1,730.59	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,305.53 / $1,730.59 / $6,585.00	Professional		$1,305.53	$1,730.59	$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 $1,089.98 / $1,753.97 / $2,874.81	Professional		$1,089.98	$1,753.97	$2,874.81