Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,109.38 / $4,771.00 / $9,539.00	Facility		$1,109.38	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,031.68 / $1,109.38 / $1,556.35	Professional		$1,031.68	$1,109.38	$1,556.35
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 $881.44 / $1,122.24 / $1,564.18	Professional		$881.44	$1,122.24	$1,564.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,062.61 / $1,298.80 / $2,532.66	Professional		$1,062.61	$1,298.80	$2,532.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $984.43 / $1,311.09 / $2,244.19	Professional		$984.43	$1,311.09	$2,244.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $904.01 / $1,084.81 / $1,337.93	Professional		$904.01	$1,084.81	$1,337.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,109.38 / $1,362.70 / $2,042.70	Facility		$1,109.38	$1,362.70	$2,042.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,334.00 / $1,506.00 / $2,222.73	Professional		$1,334.00	$1,506.00	$2,222.73
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,014.51 / $1,352.42 / $4,301.12	Facility		$1,014.51	$1,352.42	$4,301.12
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,014.51 / $1,352.42 / $4,301.12	Professional		$1,014.51	$1,352.42	$4,301.12
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 $864.24 / $1,385.96 / $2,083.92	Professional		$864.24	$1,385.96	$2,083.92