Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,211.32 / $6,146.00 / $14,798.00	Facility		$1,211.32	$6,146.00	$14,798.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,033.48 / $1,211.32 / $1,388.56	Professional		$1,033.48	$1,211.32	$1,388.56
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 $1,009.56 / $1,291.01 / $1,770.62	Professional		$1,009.56	$1,291.01	$1,770.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,178.00 / $1,739.95 / $9,211.00	Professional		$1,178.00	$1,739.95	$9,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,074.98 / $1,431.56 / $2,658.92	Professional		$1,074.98	$1,431.56	$2,658.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,030.65 / $1,236.78 / $1,525.36	Professional		$1,030.65	$1,236.78	$1,525.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,194.95 / $1,455.57 / $2,110.12	Facility		$1,194.95	$1,455.57	$2,110.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,357.00 / $1,534.00 / $2,565.41	Professional		$1,357.00	$1,534.00	$2,565.41
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,092.66 / $1,431.69 / $6,585.00	Facility		$1,092.66	$1,431.69	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,092.66 / $1,431.69 / $6,585.00	Professional		$1,092.66	$1,431.69	$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 $890.59 / $1,507.23 / $2,380.31	Professional		$890.59	$1,507.23	$2,380.31