Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,237.80 / $5,412.00 / $10,767.00	Facility		$1,237.80	$5,412.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $964.84 / $1,062.16 / $1,291.39	Professional		$964.84	$1,062.16	$1,291.39
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 $930.27 / $1,189.60 / $1,631.55	Professional		$930.27	$1,189.60	$1,631.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $794.00 / $1,090.13 / $2,195.86	Professional		$794.00	$1,090.13	$2,195.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $932.45 / $1,255.29 / $2,380.27	Professional		$932.45	$1,255.29	$2,380.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $950.07 / $1,140.08 / $1,406.10	Professional		$950.07	$1,140.08	$1,406.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,062.16 / $1,303.56 / $1,887.39	Facility		$1,062.16	$1,303.56	$1,887.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,094.00 / $1,310.00 / $2,146.00	Professional		$1,094.00	$1,310.00	$2,146.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $953.10 / $1,230.09 / $6,585.00	Facility		$953.10	$1,230.09	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $953.10 / $1,230.09 / $6,585.00	Professional		$953.10	$1,230.09	$6,585.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,693.00 / $11,671.00 / $21,639.00	Facility		$6,693.00	$11,671.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $783.41 / $1,240.81 / $2,104.25	Professional		$783.41	$1,240.81	$2,104.25