Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $6,165.95 / $15,135.61	Facility		$1,737.80	$6,165.95	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,698.24 / $3,162.28	Professional		$1,412.54	$1,698.24	$3,162.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $7,413.10 / $9,332.54	Facility		$6,606.93	$7,413.10	$9,332.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,995.26 / $2,818.38	Professional		$1,479.11	$1,995.26	$2,818.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,344.23 / $8,317.64	Professional		$1,659.59	$2,344.23	$8,317.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,949.84 / $3,388.44	Professional		$1,380.38	$1,949.84	$3,388.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,737.80 / $4,466.84	Professional		$1,380.38	$1,737.80	$4,466.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,454.71 / $3,801.89	Professional		$1,584.89	$2,454.71	$3,801.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,089.30 / $3,162.28	Facility		$1,548.82	$2,089.30	$3,162.28
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,041.74 / $10,000.00	Facility		$1,380.38	$2,041.74	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,041.74 / $10,000.00	Professional		$1,380.38	$2,041.74	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $11,481.54 / $23,988.33	Facility		$6,760.83	$11,481.54	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,949.84 / $3,090.30	Professional		$1,230.27	$1,949.84	$3,090.30