Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $4,786.30 / $12,882.50	Facility		$1,584.89	$4,786.30	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $2,238.72	Professional		$1,202.26	$1,513.56	$2,238.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $6,760.83 / $7,413.10	Facility		$5,888.44	$6,760.83	$7,413.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $2,187.76	Professional		$1,148.15	$1,548.82	$2,187.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $7,079.46 / $10,000.00	Professional		$1,348.96	$7,079.46	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $2,398.83	Professional		$1,202.26	$1,584.89	$2,398.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,258.93 / $1,548.82	Professional		$1,047.13	$1,258.93	$1,548.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,137.96 / $2,884.03	Professional		$1,621.81	$2,137.96	$2,884.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,778.28 / $2,630.27	Facility		$1,202.26	$1,778.28	$2,630.27
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,659.59 / $10,000.00	Facility		$1,096.48	$1,659.59	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,659.59 / $10,000.00	Professional		$1,096.48	$1,659.59	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $9,549.93 / $19,054.61	Facility		$5,623.41	$9,549.93	$19,054.61
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,698.24 / $2,754.23	Professional		$1,122.02	$1,698.24	$2,754.23