Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,431.98 / $6,146.00 / $14,798.00	Facility		$1,431.98	$6,146.00	$14,798.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,215.71 / $1,405.97 / $1,576.15	Professional		$1,215.71	$1,405.97	$1,576.15
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 $1,188.11 / $1,519.34 / $2,083.77	Professional		$1,188.11	$1,519.34	$2,083.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,395.08 / $2,077.56 / $9,211.00	Professional		$1,395.08	$2,077.56	$9,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,250.71 / $1,666.98 / $3,084.70	Professional		$1,250.71	$1,666.98	$3,084.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,220.65 / $1,464.78 / $1,806.56	Professional		$1,220.65	$1,464.78	$1,806.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,405.97 / $1,724.88 / $2,569.26	Facility		$1,405.97	$1,724.88	$2,569.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,573.00 / $1,789.78 / $3,021.67	Professional		$1,573.00	$1,789.78	$3,021.67
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,262.95 / $1,671.83 / $6,585.00	Facility		$1,262.95	$1,671.83	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,262.95 / $1,671.83 / $6,585.00	Professional		$1,262.95	$1,671.83	$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 $1,023.92 / $1,718.90 / $2,575.64	Professional		$1,023.92	$1,718.90	$2,575.64