Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,038.73 / $5,087.00 / $8,294.00	Facility		$1,038.73	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $841.71 / $1,029.90 / $1,302.08	Professional		$841.71	$1,029.90	$1,302.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $879.39 / $1,149.53 / $1,900.51	Professional		$879.39	$1,149.53	$1,900.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,024.32 / $1,111.86 / $4,117.00	Professional		$1,024.32	$1,111.86	$4,117.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $917.64 / $1,185.98 / $1,401.61	Professional		$917.64	$1,185.98	$1,401.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $971.80 / $1,215.31 / $1,755.45	Facility		$971.80	$1,215.31	$1,755.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,142.00 / $1,270.00 / $1,824.00	Professional		$1,142.00	$1,270.00	$1,824.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $889.05 / $1,192.36 / $4,072.00	Facility		$889.05	$1,192.36	$4,072.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $889.05 / $1,192.36 / $4,072.00	Professional		$889.05	$1,192.36	$4,072.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $9,270.00 / $17,192.00	Facility		$5,121.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $709.58 / $1,139.99 / $1,800.65	Professional		$709.58	$1,139.99	$1,800.65