Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,086.72 / $4,771.00 / $9,539.00	Facility		$1,086.72	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $910.25 / $1,086.72 / $1,443.77	Professional		$910.25	$1,086.72	$1,443.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,480.37 / $9,394.00 / $12,872.86	Facility		$6,480.37	$9,394.00	$12,872.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $814.93 / $1,037.54 / $1,446.13	Professional		$814.93	$1,037.54	$1,446.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,095.27 / $1,095.27 / $2,135.78	Professional		$1,095.27	$1,095.27	$2,135.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $904.81 / $1,195.63 / $2,083.07	Professional		$904.81	$1,195.63	$2,083.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $834.34 / $1,001.21 / $1,234.82	Professional		$834.34	$1,001.21	$1,234.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,075.66 / $1,284.00 / $1,886.38	Facility		$1,075.66	$1,284.00	$1,886.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,138.00 / $1,317.00 / $2,053.63	Professional		$1,138.00	$1,317.00	$2,053.63
Sentara Facility/Professional Facility Modifier Low / Median / High Price $878.08 / $1,228.84 / $4,071.00	Facility		$878.08	$1,228.84	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $878.08 / $1,228.84 / $4,071.00	Professional		$878.08	$1,228.84	$4,071.00
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 $801.05 / $1,095.55 / $1,892.73	Professional		$801.05	$1,095.55	$1,892.73