Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,934.27 / $8,545.00 / $20,000.00	Facility		$1,934.27	$8,545.00	$20,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $925.90 / $1,239.92 / $2,262.30	Professional		$925.90	$1,239.92	$2,262.30
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 $1,029.54 / $1,316.55 / $1,805.64	Professional		$1,029.54	$1,316.55	$1,805.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,233.83 / $1,820.91 / $15,962.00	Professional		$1,233.83	$1,820.91	$15,962.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,078.24 / $1,481.83 / $2,794.06	Professional		$1,078.24	$1,481.83	$2,794.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,051.94 / $1,262.33 / $1,556.87	Professional		$1,051.94	$1,262.33	$1,556.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,046.27 / $1,466.63 / $2,027.34	Facility		$1,046.27	$1,466.63	$2,027.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,386.00 / $1,575.00 / $2,600.33	Professional		$1,386.00	$1,575.00	$2,600.33
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,108.32 / $1,482.40 / $7,902.00	Facility		$1,108.32	$1,482.40	$7,902.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,108.32 / $1,482.40 / $7,902.00	Professional		$1,108.32	$1,482.40	$7,902.00
United Facility/Professional Facility Modifier Low / Median / High Price $8,367.00 / $13,296.00 / $26,537.00	Facility		$8,367.00	$13,296.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $904.92 / $1,561.52 / $2,470.06	Professional		$904.92	$1,561.52	$2,470.06