Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,006.08 / $4,771.00 / $9,539.00	Facility		$1,006.08	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $827.38 / $1,006.08 / $1,417.55	Professional		$827.38	$1,006.08	$1,417.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $799.13 / $1,017.43 / $1,418.10	Professional		$799.13	$1,017.43	$1,418.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,070.98 / $1,143.10 / $2,229.06	Professional		$1,070.98	$1,143.10	$2,229.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $862.64 / $1,181.96 / $2,019.40	Professional		$862.64	$1,181.96	$2,019.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $826.10 / $991.32 / $1,222.63	Professional		$826.10	$991.32	$1,222.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $987.54 / $1,237.83 / $1,769.58	Facility		$987.54	$1,237.83	$1,769.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,120.00 / $1,254.00 / $2,026.22	Professional		$1,120.00	$1,254.00	$2,026.22
Sentara Facility/Professional Facility Modifier Low / Median / High Price $865.56 / $1,186.69 / $4,071.00	Facility		$865.56	$1,186.69	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $865.56 / $1,186.69 / $4,071.00	Professional		$865.56	$1,186.69	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $3,295.00 / $5,790.00	Facility		$1,713.00	$3,295.00	$5,790.00
United Facility/Professional Professional Modifier Low / Median / High Price $784.51 / $1,215.79 / $1,927.06	Professional		$784.51	$1,215.79	$1,927.06