Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $5,888.44 / $10,964.78	Facility		$1,348.96	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,230.27 / $2,041.74	Professional		$1,023.29	$1,230.27	$2,041.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $7,413.10 / $9,332.54	Facility		$6,606.93	$7,413.10	$9,332.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $2,187.76	Professional		$1,174.90	$1,548.82	$2,187.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,089.30 / $12,022.64	Professional		$1,380.38	$2,089.30	$12,022.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,548.82 / $2,511.89	Professional		$1,096.48	$1,548.82	$2,511.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $3,235.94	Professional		$1,023.29	$1,288.25	$3,235.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $2,884.03	Professional		$1,659.59	$2,089.30	$2,884.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,659.59 / $2,454.71	Facility		$1,096.48	$1,659.59	$2,454.71
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,621.81 / $10,000.00	Facility		$1,096.48	$1,621.81	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,621.81 / $10,000.00	Professional		$1,096.48	$1,621.81	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $11,481.54 / $23,988.33	Facility		$6,760.83	$11,481.54	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,548.82 / $2,511.89	Professional		$1,000.00	$1,548.82	$2,511.89