Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,117.46 / $4,771.00 / $9,539.00	Facility		$1,117.46	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $839.05 / $1,117.46 / $1,701.89	Professional		$839.05	$1,117.46	$1,701.89
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 $889.95 / $1,133.06 / $1,579.26	Professional		$889.95	$1,133.06	$1,579.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,038.47 / $1,137.26 / $2,025.02	Professional		$1,038.47	$1,137.26	$2,025.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $976.15 / $1,226.50 / $2,251.80	Professional		$976.15	$1,226.50	$2,251.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $918.91 / $1,102.69 / $1,359.99	Professional		$918.91	$1,102.69	$1,359.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,097.36 / $1,366.51 / $1,950.65	Facility		$1,097.36	$1,366.51	$1,950.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,120.00 / $1,325.00 / $2,256.05	Professional		$1,120.00	$1,325.00	$2,256.05
Sentara Facility/Professional Facility Modifier Low / Median / High Price $924.82 / $1,281.38 / $4,315.66	Facility		$924.82	$1,281.38	$4,315.66
Sentara Facility/Professional Professional Modifier Low / Median / High Price $924.82 / $1,281.38 / $4,315.66	Professional		$924.82	$1,281.38	$4,315.66
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 $873.88 / $1,287.51 / $2,169.85	Professional		$873.88	$1,287.51	$2,169.85