Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.42 / $5,412.00 / $10,767.00	Facility		$1,698.42	$5,412.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,022.91 / $1,307.67 / $1,709.71	Professional		$1,022.91	$1,307.67	$1,709.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,183.63 / $1,520.31 / $2,148.48	Professional		$1,183.63	$1,520.31	$2,148.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,301.54 / $2,538.00 / $9,638.00	Professional		$1,301.54	$2,538.00	$9,638.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,467.79 / $1,467.79 / $1,467.79	Facility		$1,467.79	$1,467.79	$1,467.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,093.84 / $1,494.04 / $2,389.12	Professional		$1,093.84	$1,494.04	$2,389.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,221.04 / $1,436.52 / $1,840.04	Professional		$1,221.04	$1,436.52	$1,840.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,153.15 / $1,508.27 / $2,324.16	Facility		$1,153.15	$1,508.27	$2,324.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,498.00 / $1,698.00 / $2,497.40	Professional		$1,498.00	$1,698.00	$2,497.40
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,087.68 / $1,544.19 / $9,210.00	Facility		$1,087.68	$1,544.19	$9,210.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,087.68 / $1,544.19 / $9,210.00	Professional		$1,087.68	$1,544.19	$9,210.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,270.00 / $17,192.00	Facility		$6,303.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $883.67 / $1,225.52 / $2,025.33	Professional		$883.67	$1,225.52	$2,025.33