Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,082.26 / $4,771.00 / $9,539.00	Facility		$1,082.26	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,051.84 / $1,082.26 / $1,522.37	Professional		$1,051.84	$1,082.26	$1,522.37
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 $859.58 / $1,094.39 / $1,525.36	Professional		$859.58	$1,094.39	$1,525.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,032.01 / $1,527.84 / $4,284.00	Professional		$1,032.01	$1,527.84	$4,284.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $957.14 / $1,290.02 / $2,195.28	Professional		$957.14	$1,290.02	$2,195.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $879.97 / $1,055.96 / $1,302.35	Professional		$879.97	$1,055.96	$1,302.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,082.26 / $1,331.33 / $1,980.54	Facility		$1,082.26	$1,331.33	$1,980.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,280.00 / $1,494.00 / $2,166.34	Professional		$1,280.00	$1,494.00	$2,166.34
Sentara Facility/Professional Facility Modifier Low / Median / High Price $965.86 / $1,345.34 / $7,420.00	Facility		$965.86	$1,345.34	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $965.86 / $1,345.34 / $7,420.00	Professional		$965.86	$1,345.34	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,373.00 / $17,192.00	Facility		$6,303.00	$9,373.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $844.26 / $1,424.74 / $2,115.40	Professional		$844.26	$1,424.74	$2,115.40