Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,246.96 / $8,294.00 / $15,742.00	Facility		$1,246.96	$8,294.00	$15,742.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $930.84 / $1,246.96 / $1,393.81	Professional		$930.84	$1,246.96	$1,393.81
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 $1,035.38 / $1,324.02 / $1,815.89	Professional		$1,035.38	$1,324.02	$1,815.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,240.80 / $1,834.00 / $13,882.00	Professional		$1,240.80	$1,834.00	$13,882.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,084.28 / $1,493.72 / $2,810.38	Professional		$1,084.28	$1,493.72	$2,810.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,057.83 / $1,269.41 / $1,565.60	Professional		$1,057.83	$1,269.41	$1,565.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,057.83 / $1,480.62 / $2,038.25	Facility		$1,057.83	$1,480.62	$2,038.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,406.00 / $1,575.00 / $2,615.06	Professional		$1,406.00	$1,575.00	$2,615.06
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,114.58 / $1,488.13 / $7,902.00	Facility		$1,114.58	$1,488.13	$7,902.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,114.58 / $1,488.13 / $7,902.00	Professional		$1,114.58	$1,488.13	$7,902.00
United Facility/Professional Facility Modifier Low / Median / High Price $11,640.00 / $14,314.00 / $26,411.00	Facility		$11,640.00	$14,314.00	$26,411.00
United Facility/Professional Professional Modifier Low / Median / High Price $905.43 / $1,509.17 / $2,484.48	Professional		$905.43	$1,509.17	$2,484.48