Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,234.19 / $4,771.00 / $9,539.00	Facility		$1,234.19	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,067.57 / $1,234.19 / $1,583.13	Professional		$1,067.57	$1,234.19	$1,583.13
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 $980.46 / $1,248.30 / $1,739.88	Professional		$980.46	$1,248.30	$1,739.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,250.72 / $1,296.28 / $2,438.90	Professional		$1,250.72	$1,296.28	$2,438.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,086.90 / $1,458.58 / $2,510.92	Professional		$1,086.90	$1,458.58	$2,510.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,003.40 / $1,204.08 / $1,485.03	Professional		$1,003.40	$1,204.08	$1,485.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,215.98 / $1,522.19 / $2,176.62	Facility		$1,215.98	$1,522.19	$2,176.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,347.00 / $1,550.00 / $2,469.62	Professional		$1,347.00	$1,550.00	$2,469.62
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,055.91 / $1,432.15 / $4,462.00	Facility		$1,055.91	$1,432.15	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,055.91 / $1,432.15 / $4,462.00	Professional		$1,055.91	$1,432.15	$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 $964.61 / $1,363.31 / $2,279.15	Professional		$964.61	$1,363.31	$2,279.15