Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $6,760.83 / $15,488.17	Facility		$1,412.54	$6,760.83	$15,488.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,380.38 / $2,570.40	Professional		$1,122.02	$1,380.38	$2,570.40
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 $1,202.26 / $1,621.81 / $2,290.87	Professional		$1,202.26	$1,621.81	$2,290.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,905.46 / $12,022.64	Professional		$1,318.26	$1,905.46	$12,022.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $2,691.53	Professional		$1,148.15	$1,548.82	$2,691.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $3,548.13	Professional		$1,122.02	$1,412.54	$3,548.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,949.84 / $3,019.95	Professional		$1,288.25	$1,949.84	$3,019.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,698.24 / $2,630.27	Facility		$1,230.27	$1,698.24	$2,630.27
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,659.59 / $10,000.00	Facility		$1,122.02	$1,659.59	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,659.59 / $10,000.00	Professional		$1,122.02	$1,659.59	$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 $977.24 / $1,548.82 / $2,511.89	Professional		$977.24	$1,548.82	$2,511.89