Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,372.90 / $6,146.00 / $14,798.00	Facility		$1,372.90	$6,146.00	$14,798.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,164.43 / $1,341.43 / $1,508.14	Professional		$1,164.43	$1,341.43	$1,508.14
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 $1,136.80 / $1,453.71 / $1,993.76	Professional		$1,136.80	$1,453.71	$1,993.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,336.66 / $1,992.25 / $9,211.00	Professional		$1,336.66	$1,992.25	$9,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,195.92 / $1,585.33 / $2,946.18	Professional		$1,195.92	$1,585.33	$2,946.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,168.01 / $1,401.61 / $1,728.65	Professional		$1,168.01	$1,401.61	$1,728.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,341.43 / $1,646.30 / $2,395.16	Facility		$1,341.43	$1,646.30	$2,395.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,494.00 / $1,701.00 / $2,891.86	Professional		$1,494.00	$1,701.00	$2,891.86
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,174.75 / $1,595.10 / $6,585.00	Facility		$1,174.75	$1,595.10	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,174.75 / $1,595.10 / $6,585.00	Professional		$1,174.75	$1,595.10	$6,585.00
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 $938.90 / $1,611.54 / $2,611.92	Professional		$938.90	$1,611.54	$2,611.92