Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,850.69 / $4,796.00 / $9,539.00	Facility		$1,850.69	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,591.44 / $1,850.69 / $2,112.17	Professional		$1,591.44	$1,850.69	$2,112.17
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 $1,519.73 / $1,943.39 / $2,665.35	Professional		$1,519.73	$1,943.39	$2,665.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,757.67 / $2,508.09 / $22,146.00	Professional		$1,757.67	$2,508.09	$22,146.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,546.47 / $2,098.38 / $4,067.56	Professional		$1,546.47	$2,098.38	$4,067.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,524.10 / $1,828.92 / $2,258.55	Professional		$1,524.10	$1,828.92	$2,258.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,697.24 / $2,152.32 / $3,090.39	Facility		$1,697.24	$2,152.32	$3,090.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,861.65 / $2,241.00 / $3,743.98	Professional		$1,861.65	$2,241.00	$3,743.98
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,561.90 / $2,108.91 / $7,420.00	Facility		$1,561.90	$2,108.91	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,561.90 / $2,108.91 / $7,420.00	Professional		$1,561.90	$2,108.91	$7,420.00
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 $1,324.50 / $1,981.85 / $3,527.53	Professional		$1,324.50	$1,981.85	$3,527.53