Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $5,888.44 / $10,964.78	Facility		$1,737.80	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,548.82 / $3,548.13	Professional		$1,096.48	$1,548.82	$3,548.13
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 $1,258.93 / $1,862.09 / $2,630.27	Professional		$1,258.93	$1,862.09	$2,630.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,584.89 / $2,754.23	Professional		$1,288.25	$1,584.89	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,548.82 / $2,570.40	Professional		$1,122.02	$1,548.82	$2,570.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,348.96 / $1,778.28	Professional		$1,148.15	$1,348.96	$1,778.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,621.81 / $1,778.28	Professional		$1,584.89	$1,621.81	$1,778.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $2,454.71	Facility		$1,174.90	$1,621.81	$2,454.71
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,621.81 / $10,000.00	Facility		$1,071.52	$1,621.81	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,621.81 / $10,000.00	Professional		$1,071.52	$1,621.81	$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 $891.25 / $1,258.93 / $2,290.87	Professional		$891.25	$1,258.93	$2,290.87