Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.01 / $5,412.00 / $11,425.00	Facility		$1,348.01	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,014.02 / $1,348.01 / $1,615.55	Professional		$1,014.02	$1,348.01	$1,615.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,125.10 / $1,438.77 / $1,973.27	Professional		$1,125.10	$1,438.77	$1,973.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,349.51 / $1,970.44 / $11,515.00	Professional		$1,349.51	$1,970.44	$11,515.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,177.88 / $1,603.65 / $3,045.73	Professional		$1,177.88	$1,603.65	$3,045.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,149.16 / $1,378.99 / $1,700.76	Professional		$1,149.16	$1,378.99	$1,700.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,145.83 / $1,612.39 / $2,202.17	Facility		$1,145.83	$1,612.39	$2,202.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,501.00 / $1,701.00 / $2,842.37	Professional		$1,501.00	$1,701.00	$2,842.37
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,212.65 / $1,602.91 / $6,585.00	Facility		$1,212.65	$1,602.91	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,212.65 / $1,602.91 / $6,585.00	Professional		$1,212.65	$1,602.91	$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 $1,010.99 / $1,649.97 / $2,668.95	Professional		$1,010.99	$1,649.97	$2,668.95