Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,394.18 / $5,980.00 / $14,867.45	Facility		$1,394.18	$5,980.00	$14,867.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,030.24 / $1,394.18 / $1,539.23	Professional		$1,030.24	$1,394.18	$1,539.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,076.18 / $14,552.64 / $20,189.45	Facility		$10,076.18	$14,552.64	$20,189.45
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 $1,445.26 / $1,703.63 / $2,966.14	Professional		$1,445.26	$1,703.63	$2,966.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,198.57 / $1,647.67 / $3,122.64	Professional		$1,198.57	$1,647.67	$3,122.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,169.33 / $1,403.21 / $1,730.62	Professional		$1,169.33	$1,403.21	$1,730.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,168.52 / $1,647.67 / $2,400.44	Facility		$1,168.52	$1,647.67	$2,400.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,545.00 / $1,738.27 / $2,891.26	Professional		$1,545.00	$1,738.27	$2,891.26
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,227.00 / $1,629.87 / $3,008.96	Facility		$1,227.00	$1,629.87	$3,008.96
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,227.00 / $1,629.87 / $3,008.96	Professional		$1,227.00	$1,629.87	$3,008.96
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 $1,036.52 / $1,686.43 / $2,733.82	Professional		$1,036.52	$1,686.43	$2,733.82