Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,168.00 / $4,771.00 / $9,539.00	Facility		$1,168.00	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,008.48 / $1,168.00 / $1,648.03	Professional		$1,008.48	$1,168.00	$1,648.03
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 $931.86 / $1,186.42 / $1,653.64	Professional		$931.86	$1,186.42	$1,653.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,121.83 / $1,268.16 / $2,472.91	Professional		$1,121.83	$1,268.16	$2,472.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,037.60 / $1,306.06 / $2,376.60	Professional		$1,037.60	$1,306.06	$2,376.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $953.72 / $1,144.46 / $1,411.51	Professional		$953.72	$1,144.46	$1,411.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,168.00 / $1,397.31 / $2,060.14	Facility		$1,168.00	$1,397.31	$2,060.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,288.00 / $1,480.31 / $2,348.33	Professional		$1,288.00	$1,480.31	$2,348.33
Sentara Facility/Professional Facility Modifier Low / Median / High Price $993.14 / $1,334.60 / $4,462.00	Facility		$993.14	$1,334.60	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $993.14 / $1,334.60 / $4,462.00	Professional		$993.14	$1,334.60	$4,462.00
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 $914.01 / $1,317.70 / $2,267.00	Professional		$914.01	$1,317.70	$2,267.00