Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,671.70 / $5,412.00 / $10,767.00	Facility		$1,671.70	$5,412.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,034.19 / $1,314.84 / $1,749.00	Professional		$1,034.19	$1,314.84	$1,749.00
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 $1,182.43 / $1,518.77 / $2,146.31	Professional		$1,182.43	$1,518.77	$2,146.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,401.21 / $2,732.36 / $11,566.00	Professional		$1,401.21	$2,732.36	$11,566.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,628.10 / $1,628.10 / $1,628.10	Professional		$1,628.10	$1,628.10	$1,628.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,221.04 / $1,436.52 / $1,853.24	Professional		$1,221.04	$1,436.52	$1,853.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,218.68 / $1,607.51 / $2,389.64	Facility		$1,218.68	$1,607.51	$2,389.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,649.00 / $1,815.00 / $2,448.00	Professional		$1,649.00	$1,815.00	$2,448.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,166.57 / $1,632.09 / $9,929.00	Facility		$1,166.57	$1,632.09	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,166.57 / $1,632.09 / $9,929.00	Professional		$1,166.57	$1,632.09	$9,929.00
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 $955.86 / $1,240.02 / $2,347.14	Professional		$955.86	$1,240.02	$2,347.14