Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,130.09 / $4,771.00 / $9,539.00	Facility		$1,130.09	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $922.73 / $1,130.09 / $1,428.15	Professional		$922.73	$1,130.09	$1,428.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,955.00 / $11,210.00 / $17,424.00	Facility		$8,955.00	$11,210.00	$17,424.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $907.26 / $1,155.09 / $1,609.99	Professional		$907.26	$1,155.09	$1,609.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,216.16 / $1,309.46 / $2,553.44	Professional		$1,216.16	$1,309.46	$2,553.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $989.22 / $1,275.52 / $2,279.17	Professional		$989.22	$1,275.52	$2,279.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $934.01 / $1,120.81 / $1,382.33	Professional		$934.01	$1,120.81	$1,382.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,085.84 / $1,374.82 / $1,964.18	Facility		$1,085.84	$1,374.82	$1,964.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,248.00 / $1,396.00 / $2,295.89	Professional		$1,248.00	$1,396.00	$2,295.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $977.84 / $1,280.01 / $4,368.14	Facility		$977.84	$1,280.01	$4,368.14
Sentara Facility/Professional Professional Modifier Low / Median / High Price $977.84 / $1,280.01 / $4,368.14	Professional		$977.84	$1,280.01	$4,368.14
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 $885.60 / $1,241.34 / $1,970.47	Professional		$885.60	$1,241.34	$1,970.47