Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,055.20 / $4,771.00 / $9,539.00	Facility		$1,055.20	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $937.36 / $1,055.20 / $1,331.40	Professional		$937.36	$1,055.20	$1,331.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,525.00 / $11,065.00 / $12,418.00	Facility		$8,525.00	$11,065.00	$12,418.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $859.59 / $1,099.22 / $1,507.58	Professional		$859.59	$1,099.22	$1,507.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,087.93 / $1,253.97 / $2,183.26	Professional		$1,087.93	$1,253.97	$2,183.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $921.12 / $1,247.05 / $2,382.00	Professional		$921.12	$1,247.05	$2,382.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $882.99 / $1,059.58 / $1,306.83	Professional		$882.99	$1,059.58	$1,306.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,055.20 / $1,278.89 / $1,858.44	Facility		$1,055.20	$1,278.89	$1,858.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,182.00 / $1,331.39 / $2,150.38	Professional		$1,182.00	$1,331.39	$2,150.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $950.41 / $1,227.00 / $2,279.94	Facility		$950.41	$1,227.00	$2,279.94
Sentara Facility/Professional Professional Modifier Low / Median / High Price $950.41 / $1,227.00 / $2,279.94	Professional		$950.41	$1,227.00	$2,279.94
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 $775.65 / $1,253.69 / $2,068.03	Professional		$775.65	$1,253.69	$2,068.03