Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,244.00 / $5,087.00 / $8,294.00	Facility		$1,244.00	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,015.84 / $1,065.33 / $1,351.93	Professional		$1,015.84	$1,065.33	$1,351.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $995.73 / $1,273.32 / $1,746.35	Professional		$995.73	$1,273.32	$1,746.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,184.98 / $1,782.55 / $5,895.00	Professional		$1,184.98	$1,782.55	$5,895.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $886.39 / $1,259.04 / $2,558.06	Professional		$886.39	$1,259.04	$2,558.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,016.91 / $1,220.29 / $1,505.03	Professional		$1,016.91	$1,220.29	$1,505.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,065.33 / $1,351.93 / $1,902.02	Facility		$1,065.33	$1,351.93	$1,902.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,054.00 / $1,306.00 / $2,341.00	Professional		$1,054.00	$1,306.00	$2,341.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $861.87 / $1,288.91 / $4,283.00	Facility		$861.87	$1,288.91	$4,283.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $861.87 / $1,288.91 / $4,283.00	Professional		$861.87	$1,288.91	$4,283.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $7,061.00 / $12,739.00	Facility		$4,349.00	$7,061.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $765.55 / $1,271.14 / $2,137.80	Professional		$765.55	$1,271.14	$2,137.80