Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,068.66 / $4,796.00 / $9,539.00	Facility		$1,068.66	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $880.55 / $1,068.66 / $1,552.12	Professional		$880.55	$1,068.66	$1,552.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,966.61 / $33,300.96 / $46,381.49	Facility		$14,966.61	$33,300.96	$46,381.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $871.27 / $1,108.66 / $1,547.46	Professional		$871.27	$1,108.66	$1,547.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $676.00 / $1,159.07 / $1,673.27	Professional		$676.00	$1,159.07	$1,673.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $950.24 / $1,311.53 / $2,239.82	Professional		$950.24	$1,311.53	$2,239.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $894.51 / $1,073.41 / $1,323.87	Professional		$894.51	$1,073.41	$1,323.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $983.17 / $1,262.96 / $1,924.37	Facility		$983.17	$1,262.96	$1,924.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,208.00 / $1,710.00 / $2,206.01	Professional		$1,208.00	$1,710.00	$2,206.01
Sentara Facility/Professional Facility Modifier Low / Median / High Price $971.51 / $1,272.63 / $4,118.81	Facility		$971.51	$1,272.63	$4,118.81
Sentara Facility/Professional Professional Modifier Low / Median / High Price $971.51 / $1,272.63 / $4,118.81	Professional		$971.51	$1,272.63	$4,118.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.00 / $3,295.00 / $5,790.00	Facility		$1,621.00	$3,295.00	$5,790.00
United Facility/Professional Professional Modifier Low / Median / High Price $861.68 / $1,339.43 / $2,137.21	Professional		$861.68	$1,339.43	$2,137.21