Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,631.67 / $4,781.72 / $9,539.00	Facility		$1,631.67	$4,781.72	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,186.58 / $1,631.67 / $1,862.49	Professional		$1,186.58	$1,631.67	$1,862.49
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 $1,318.73 / $1,686.36 / $2,312.84	Professional		$1,318.73	$1,686.36	$2,312.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $794.00 / $1,590.40 / $2,960.55	Professional		$794.00	$1,590.40	$2,960.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,317.29 / $1,869.28 / $3,478.36	Professional		$1,317.29	$1,869.28	$3,478.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,350.90 / $1,621.08 / $1,999.33	Professional		$1,350.90	$1,621.08	$1,999.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,340.84 / $1,875.63 / $2,665.54	Facility		$1,340.84	$1,875.63	$2,665.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,725.41 / $1,987.00 / $3,232.00	Professional		$1,725.41	$1,987.00	$3,232.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,350.90 / $1,757.80 / $3,454.07	Facility		$1,350.90	$1,757.80	$3,454.07
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,350.90 / $1,757.80 / $3,454.07	Professional		$1,350.90	$1,757.80	$3,454.07
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 $1,095.41 / $1,794.64 / $2,896.58	Professional		$1,095.41	$1,794.64	$2,896.58