Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,492.99 / $4,771.00 / $9,539.00	Facility		$1,492.99	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.23 / $1,492.99 / $1,889.66	Professional		$1,202.23	$1,492.99	$1,889.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,213.31 / $1,551.56 / $2,127.96	Professional		$1,213.31	$1,551.56	$2,127.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $794.00 / $1,530.12 / $3,077.86	Professional		$794.00	$1,530.12	$3,077.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,299.06 / $1,764.45 / $3,365.38	Professional		$1,299.06	$1,764.45	$3,365.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,232.48 / $1,478.98 / $1,824.07	Professional		$1,232.48	$1,478.98	$1,824.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,492.99 / $1,781.47 / $2,632.18	Facility		$1,492.99	$1,781.47	$2,632.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,679.00 / $1,889.66 / $3,031.90	Professional		$1,679.00	$1,889.66	$3,031.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,335.13 / $1,733.93 / $3,199.78	Facility		$1,335.13	$1,733.93	$3,199.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,335.13 / $1,733.93 / $3,199.78	Professional		$1,335.13	$1,733.93	$3,199.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,130.00 / $5,226.00	Facility		$1,547.00	$3,130.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,095.85 / $1,767.07 / $2,911.79	Professional		$1,095.85	$1,767.07	$2,911.79