Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,239.07 / $6,146.00 / $14,798.00	Facility		$1,239.07	$6,146.00	$14,798.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,054.57 / $1,239.07 / $1,372.63	Professional		$1,054.57	$1,239.07	$1,372.63
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 $1,031.08 / $1,318.52 / $1,808.35	Professional		$1,031.08	$1,318.52	$1,808.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,202.46 / $1,776.11 / $9,211.00	Professional		$1,202.46	$1,776.11	$9,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,098.17 / $1,464.35 / $2,717.50	Professional		$1,098.17	$1,464.35	$2,717.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,053.23 / $1,263.88 / $1,558.78	Professional		$1,053.23	$1,263.88	$1,558.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,220.73 / $1,486.73 / $2,181.29	Facility		$1,220.73	$1,486.73	$2,181.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,381.00 / $1,562.00 / $2,619.98	Professional		$1,381.00	$1,562.00	$2,619.98
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,119.48 / $1,470.77 / $6,585.00	Facility		$1,119.48	$1,470.77	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,119.48 / $1,470.77 / $6,585.00	Professional		$1,119.48	$1,470.77	$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 $902.04 / $1,490.50 / $2,431.15	Professional		$902.04	$1,490.50	$2,431.15