Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,403.13 / $6,146.00 / $14,798.00	Facility		$1,403.13	$6,146.00	$14,798.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,191.45 / $1,374.67 / $1,543.68	Professional		$1,191.45	$1,374.67	$1,543.68
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 $1,163.53 / $1,487.90 / $2,040.65	Professional		$1,163.53	$1,487.90	$2,040.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,367.12 / $2,036.22 / $11,515.00	Professional		$1,367.12	$2,036.22	$11,515.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,224.46 / $1,624.61 / $3,018.39	Professional		$1,224.46	$1,624.61	$3,018.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,194.84 / $1,433.82 / $1,768.38	Professional		$1,194.84	$1,433.82	$1,768.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,374.67 / $1,687.10 / $2,457.67	Facility		$1,374.67	$1,687.10	$2,457.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,532.00 / $1,743.00 / $2,959.34	Professional		$1,532.00	$1,743.00	$2,959.34
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,219.48 / $1,634.62 / $6,585.00	Facility		$1,219.48	$1,634.62	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,219.48 / $1,634.62 / $6,585.00	Professional		$1,219.48	$1,634.62	$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 $1,001.91 / $1,654.82 / $2,668.38	Professional		$1,001.91	$1,654.82	$2,668.38