Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,103.82 / $4,771.00 / $9,539.00	Facility		$1,103.82	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $985.63 / $1,103.82 / $1,559.88	Professional		$985.63	$1,103.82	$1,559.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $881.75 / $1,122.61 / $1,564.71	Professional		$881.75	$1,122.61	$1,564.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,109.68 / $1,465.15 / $19,633.00	Professional		$1,109.68	$1,465.15	$19,633.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $981.86 / $1,304.51 / $2,251.78	Professional		$981.86	$1,304.51	$2,251.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $903.87 / $1,084.64 / $1,337.73	Professional		$903.87	$1,084.64	$1,337.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,103.82 / $1,364.85 / $2,019.99	Facility		$1,103.82	$1,364.85	$2,019.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,311.00 / $1,481.00 / $2,222.78	Professional		$1,311.00	$1,481.00	$2,222.78
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,014.47 / $1,352.07 / $9,929.00	Facility		$1,014.47	$1,352.07	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,014.47 / $1,352.07 / $9,929.00	Professional		$1,014.47	$1,352.07	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $8,367.00 / $13,296.00 / $26,537.00	Facility		$8,367.00	$13,296.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $866.54 / $1,425.76 / $2,148.82	Professional		$866.54	$1,425.76	$2,148.82