Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,939.85 / $6,146.00 / $14,798.00	Facility		$1,939.85	$6,146.00	$14,798.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,175.19 / $1,499.52 / $1,983.20	Professional		$1,175.19	$1,499.52	$1,983.20
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 $1,355.61 / $1,741.20 / $2,460.65	Professional		$1,355.61	$1,741.20	$2,460.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,510.01 / $2,944.52 / $17,716.00	Professional		$1,510.01	$2,944.52	$17,716.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,681.04 / $1,681.04 / $1,681.04	Facility		$1,681.04	$1,681.04	$1,681.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,280.53 / $1,700.35 / $2,754.54	Professional		$1,280.53	$1,700.35	$2,754.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,398.26 / $1,645.01 / $2,109.86	Professional		$1,398.26	$1,645.01	$2,109.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,347.95 / $1,737.11 / $2,661.90	Facility		$1,347.95	$1,737.11	$2,661.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,756.00 / $1,970.00 / $2,857.24	Professional		$1,756.00	$1,970.00	$2,857.24
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,259.40 / $1,781.99 / $9,210.00	Facility		$1,259.40	$1,781.99	$9,210.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,259.40 / $1,781.99 / $9,210.00	Professional		$1,259.40	$1,781.99	$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 $1,040.96 / $1,374.68 / $2,344.21	Professional		$1,040.96	$1,374.68	$2,344.21