Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,300.30 / $5,412.00 / $10,767.00	Facility		$1,300.30	$5,412.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,093.86 / $1,300.30 / $1,428.08	Professional		$1,093.86	$1,300.30	$1,428.08
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 $1,073.79 / $1,373.14 / $1,883.26	Professional		$1,073.79	$1,373.14	$1,883.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $794.00 / $1,294.18 / $2,523.65	Professional		$794.00	$1,294.18	$2,523.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,140.83 / $1,536.72 / $2,848.07	Professional		$1,140.83	$1,536.72	$2,848.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,099.15 / $1,318.98 / $1,626.74	Professional		$1,099.15	$1,318.98	$1,626.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,268.15 / $1,550.86 / $2,300.90	Facility		$1,268.15	$1,550.86	$2,300.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,478.40 / $1,642.00 / $2,726.90	Professional		$1,478.40	$1,642.00	$2,726.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,166.14 / $1,535.91 / $6,585.00	Facility		$1,166.14	$1,535.91	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,166.14 / $1,535.91 / $6,585.00	Professional		$1,166.14	$1,535.91	$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 $945.38 / $1,586.10 / $2,517.81	Professional		$945.38	$1,586.10	$2,517.81