Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,223.55 / $4,771.00 / $9,539.00	Facility		$1,223.55	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,027.71 / $1,223.55 / $1,612.52	Professional		$1,027.71	$1,223.55	$1,612.52
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 $909.39 / $1,157.81 / $1,613.76	Professional		$909.39	$1,157.81	$1,613.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,202.72 / $1,240.50 / $2,418.96	Professional		$1,202.72	$1,240.50	$2,418.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,011.36 / $1,424.25 / $2,326.85	Professional		$1,011.36	$1,424.25	$2,326.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $930.50 / $1,116.59 / $1,377.14	Professional		$930.50	$1,116.59	$1,377.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,190.46 / $1,460.98 / $2,179.63	Facility		$1,190.46	$1,460.98	$2,179.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,357.00 / $1,544.49 / $2,290.96	Professional		$1,357.00	$1,544.49	$2,290.96
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,051.90 / $1,410.89 / $4,459.64	Facility		$1,051.90	$1,410.89	$4,459.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,051.90 / $1,410.89 / $4,459.64	Professional		$1,051.90	$1,410.89	$4,459.64
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 $894.03 / $1,481.82 / $2,217.44	Professional		$894.03	$1,481.82	$2,217.44