Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $5,623.41 / $10,964.78	Facility		$1,445.44	$5,623.41	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $2,238.72	Professional		$1,096.48	$1,380.38	$2,238.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $14,791.08 / $15,848.93	Facility		$11,748.98	$14,791.08	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $2,398.83	Professional		$1,258.93	$1,698.24	$2,398.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,290.87 / $19,498.45	Professional		$1,479.11	$2,290.87	$19,498.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,698.24 / $2,691.53	Professional		$1,174.90	$1,698.24	$2,691.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $3,467.37	Professional		$1,096.48	$1,380.38	$3,467.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,290.87 / $3,090.30	Professional		$1,778.28	$2,290.87	$3,090.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,778.28 / $2,570.40	Facility		$1,148.15	$1,778.28	$2,570.40
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,737.80 / $10,000.00	Facility		$1,202.26	$1,737.80	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,737.80 / $10,000.00	Professional		$1,202.26	$1,737.80	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $11,748.98 / $23,988.33	Facility		$6,760.83	$11,748.98	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,659.59 / $2,691.53	Professional		$1,071.52	$1,659.59	$2,691.53