Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,495.41 / $10,000.00	Facility		$2,137.96	$5,495.41	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,089.30 / $3,090.30	Professional		$1,778.28	$2,089.30	$3,090.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $7,413.10 / $9,332.54	Facility		$6,606.93	$7,413.10	$9,332.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,511.89 / $3,548.13	Professional		$1,862.09	$2,511.89	$3,548.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,090.30 / $19,498.45	Professional		$2,137.96	$3,090.30	$19,498.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,511.89 / $4,168.69	Professional		$1,862.09	$2,511.89	$4,168.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $5,128.61	Professional		$1,659.59	$2,089.30	$5,128.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,162.28 / $4,677.35	Professional		$2,454.71	$3,162.28	$4,677.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,691.53 / $4,073.80	Facility		$1,949.84	$2,691.53	$4,073.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,630.27 / $10,000.00	Facility		$1,819.70	$2,630.27	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,630.27 / $10,000.00	Professional		$1,819.70	$2,630.27	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $11,481.54 / $23,988.33	Facility		$6,760.83	$11,481.54	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,511.89 / $3,981.07	Professional		$1,548.82	$2,511.89	$3,981.07