Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,383.66 / $5,412.00 / $10,767.00	Facility		$1,383.66	$5,412.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,167.61 / $1,383.66 / $1,523.41	Professional		$1,167.61	$1,383.66	$1,523.41
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 $1,144.48 / $1,463.53 / $2,007.23	Professional		$1,144.48	$1,463.53	$2,007.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $794.00 / $1,335.88 / $2,604.96	Professional		$794.00	$1,335.88	$2,604.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,216.55 / $1,635.24 / $3,034.71	Professional		$1,216.55	$1,635.24	$3,034.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,171.09 / $1,405.32 / $1,733.23	Professional		$1,171.09	$1,405.32	$1,733.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,352.32 / $1,647.24 / $2,472.30	Facility		$1,352.32	$1,647.24	$2,472.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,461.00 / $1,736.00 / $2,906.78	Professional		$1,461.00	$1,736.00	$2,906.78
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,241.13 / $1,636.22 / $6,585.00	Facility		$1,241.13	$1,636.22	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,241.13 / $1,636.22 / $6,585.00	Professional		$1,241.13	$1,636.22	$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 $1,007.33 / $1,695.29 / $2,656.83	Professional		$1,007.33	$1,695.29	$2,656.83