Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,739.35 / $5,636.00 / $14,798.00	Facility		$1,739.35	$5,636.00	$14,798.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,477.00 / $1,704.21 / $2,428.00	Professional		$1,477.00	$1,704.21	$2,428.00
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 $1,442.28 / $1,844.35 / $2,529.52	Professional		$1,442.28	$1,844.35	$2,529.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,693.77 / $2,525.33 / $7,369.00	Professional		$1,693.77	$2,525.33	$7,369.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,444.62 / $2,022.97 / $3,742.43	Professional		$1,444.62	$2,022.97	$3,742.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,481.06 / $1,777.27 / $2,191.96	Professional		$1,481.06	$1,777.27	$2,191.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,704.21 / $2,018.65 / $3,076.36	Facility		$1,704.21	$2,018.65	$3,076.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,892.00 / $2,150.00 / $3,668.21	Professional		$1,892.00	$2,150.00	$3,668.21
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,481.06 / $2,026.47 / $7,105.55	Facility		$1,481.06	$2,026.47	$7,105.55
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,481.06 / $2,026.47 / $7,105.55	Professional		$1,481.06	$2,026.47	$7,105.55
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 $1,242.25 / $2,072.81 / $3,318.31	Professional		$1,242.25	$2,072.81	$3,318.31