Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,117.34 / $4,771.00 / $9,539.00	Facility		$1,117.34	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $930.93 / $1,117.34 / $1,559.54	Professional		$930.93	$1,117.34	$1,559.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $864.43 / $1,099.01 / $1,533.99	Professional		$864.43	$1,099.01	$1,533.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,144.41 / $1,260.91 / $2,458.77	Professional		$1,144.41	$1,260.91	$2,458.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $958.04 / $1,293.35 / $2,234.98	Professional		$958.04	$1,293.35	$2,234.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $887.56 / $1,065.07 / $1,313.59	Professional		$887.56	$1,065.07	$1,313.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,014.46 / $1,319.73 / $1,888.32	Facility		$1,014.46	$1,319.73	$1,888.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,239.00 / $1,359.65 / $2,184.29	Professional		$1,239.00	$1,359.65	$2,184.29
Sentara Facility/Professional Facility Modifier Low / Median / High Price $958.05 / $1,267.52 / $4,283.47	Facility		$958.05	$1,267.52	$4,283.47
Sentara Facility/Professional Professional Modifier Low / Median / High Price $958.05 / $1,267.52 / $4,283.47	Professional		$958.05	$1,267.52	$4,283.47
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 $861.81 / $1,378.90 / $2,028.68	Professional		$861.81	$1,378.90	$2,028.68