Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,707.12 / $6,146.00 / $14,798.00	Facility		$1,707.12	$6,146.00	$14,798.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,444.03 / $1,707.12 / $1,855.28	Professional		$1,444.03	$1,707.12	$1,855.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,388.19 / $1,775.18 / $2,434.65	Professional		$1,388.19	$1,775.18	$2,434.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,602.94 / $2,207.25 / $3,426.00	Professional		$1,602.94	$2,207.25	$3,426.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,472.46 / $2,000.12 / $3,721.24	Professional		$1,472.46	$2,000.12	$3,721.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,422.15 / $1,706.58 / $2,104.78	Professional		$1,422.15	$1,706.58	$2,104.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,634.24 / $2,046.82 / $2,945.97	Facility		$1,634.24	$2,046.82	$2,945.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,971.00 / $2,166.00 / $3,522.72	Professional		$1,971.00	$2,166.00	$3,522.72
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,532.33 / $2,017.98 / $7,063.89	Facility		$1,532.33	$2,017.98	$7,063.89
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,532.33 / $2,017.98 / $7,063.89	Professional		$1,532.33	$2,017.98	$7,063.89
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 $1,235.22 / $2,080.32 / $3,257.88	Professional		$1,235.22	$2,080.32	$3,257.88