Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,446.33 / $4,771.00 / $9,539.00	Facility		$1,446.33	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,239.33 / $1,446.33 / $1,658.09	Professional		$1,239.33	$1,446.33	$1,658.09
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 $1,195.19 / $1,528.38 / $2,096.17	Professional		$1,195.19	$1,528.38	$2,096.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,441.84 / $2,076.25 / $9,211.00	Professional		$1,441.84	$2,076.25	$9,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,216.63 / $1,629.39 / $3,183.75	Professional		$1,216.63	$1,629.39	$3,183.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,200.43 / $1,440.52 / $1,780.30	Professional		$1,200.43	$1,440.52	$1,780.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,335.56 / $1,687.72 / $2,433.33	Facility		$1,335.56	$1,687.72	$2,433.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,443.49 / $1,742.00 / $2,948.26	Professional		$1,443.49	$1,742.00	$2,948.26
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,250.59 / $1,678.96 / $6,585.00	Facility		$1,250.59	$1,678.96	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,250.59 / $1,678.96 / $6,585.00	Professional		$1,250.59	$1,678.96	$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 $1,036.71 / $1,609.86 / $2,761.06	Professional		$1,036.71	$1,609.86	$2,761.06