Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,113.70 / $4,771.00 / $9,539.00	Facility		$1,113.70	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $962.43 / $1,113.70 / $1,231.64	Professional		$962.43	$1,113.70	$1,231.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,202.99 / $17,356.06 / $23,861.81	Facility		$11,202.99	$17,356.06	$23,861.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $903.84 / $1,155.81 / $1,585.19	Professional		$903.84	$1,155.81	$1,585.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,143.24 / $1,321.59 / $2,300.98	Professional		$1,143.24	$1,321.59	$2,300.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $968.05 / $1,316.19 / $2,495.76	Professional		$968.05	$1,316.19	$2,495.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $920.27 / $1,104.32 / $1,362.00	Professional		$920.27	$1,104.32	$1,362.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,113.70 / $1,346.30 / $1,958.80	Facility		$1,113.70	$1,346.30	$1,958.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,223.00 / $1,400.76 / $2,260.73	Professional		$1,223.00	$1,400.76	$2,260.73
Sentara Facility/Professional Facility Modifier Low / Median / High Price $995.99 / $1,294.88 / $2,386.44	Facility		$995.99	$1,294.88	$2,386.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $995.99 / $1,294.88 / $2,386.44	Professional		$995.99	$1,294.88	$2,386.44
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 $812.69 / $1,310.57 / $2,164.42	Professional		$812.69	$1,310.57	$2,164.42