Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,212.69 / $4,771.00 / $9,539.00	Facility		$1,212.69	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,024.94 / $1,212.69 / $1,702.84	Professional		$1,024.94	$1,212.69	$1,702.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $961.63 / $1,222.58 / $1,706.47	Professional		$961.63	$1,222.58	$1,706.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,295.34 / $1,748.72 / $3,426.00	Professional		$1,295.34	$1,748.72	$3,426.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $748.10 / $1,324.69 / $2,455.61	Professional		$748.10	$1,324.69	$2,455.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $983.78 / $1,180.54 / $1,455.99	Professional		$983.78	$1,180.54	$1,455.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,056.02 / $1,433.17 / $2,049.44	Facility		$1,056.02	$1,433.17	$2,049.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,328.00 / $1,524.00 / $2,423.16	Professional		$1,328.00	$1,524.00	$2,423.16
Sentara Facility/Professional Facility Modifier Low / Median / High Price $766.11 / $1,385.95 / $2,755.00	Facility		$766.11	$1,385.95	$2,755.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $766.11 / $1,385.95 / $2,755.00	Professional		$766.11	$1,385.95	$2,755.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,893.00 / $3,765.00	Facility		$1,066.00	$1,893.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $801.49 / $1,155.00 / $2,341.78	Professional		$801.49	$1,155.00	$2,341.78