Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,125.01 / $4,771.00 / $9,539.00	Facility		$1,125.01	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $976.39 / $1,125.01 / $1,250.51	Professional		$976.39	$1,125.01	$1,250.51
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 $917.05 / $1,172.71 / $1,608.37	Professional		$917.05	$1,172.71	$1,608.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,159.78 / $1,336.48 / $2,326.92	Professional		$1,159.78	$1,336.48	$2,326.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $982.56 / $1,329.56 / $2,532.42	Professional		$982.56	$1,329.56	$2,532.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.11 / $1,119.73 / $1,381.00	Professional		$933.11	$1,119.73	$1,381.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,125.01 / $1,387.02 / $1,982.94	Facility		$1,125.01	$1,387.02	$1,982.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,252.00 / $1,421.30 / $2,293.66	Professional		$1,252.00	$1,421.30	$2,293.66
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,011.08 / $1,298.50 / $2,419.96	Facility		$1,011.08	$1,298.50	$2,419.96
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,011.08 / $1,298.50 / $2,419.96	Professional		$1,011.08	$1,298.50	$2,419.96
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 $824.62 / $1,319.16 / $2,196.87	Professional		$824.62	$1,319.16	$2,196.87