Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,063.01 / $4,771.00 / $9,539.00	Facility		$1,063.01	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $886.54 / $1,063.01 / $1,493.03	Professional		$886.54	$1,063.01	$1,493.03
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 $843.18 / $1,073.51 / $1,496.26	Professional		$843.18	$1,073.51	$1,496.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,091.69 / $1,091.69 / $2,128.80	Professional		$1,091.69	$1,091.69	$2,128.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $938.72 / $1,300.55 / $2,152.92	Professional		$938.72	$1,300.55	$2,152.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $863.04 / $1,035.65 / $1,277.30	Professional		$863.04	$1,035.65	$1,277.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,063.01 / $1,304.59 / $1,952.98	Facility		$1,063.01	$1,304.59	$1,952.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,189.00 / $1,360.00 / $2,125.13	Professional		$1,189.00	$1,360.00	$2,125.13
Sentara Facility/Professional Facility Modifier Low / Median / High Price $970.48 / $1,302.14 / $4,126.14	Facility		$970.48	$1,302.14	$4,126.14
Sentara Facility/Professional Professional Modifier Low / Median / High Price $970.48 / $1,302.14 / $4,126.14	Professional		$970.48	$1,302.14	$4,126.14
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 $828.19 / $1,397.25 / $1,860.35	Professional		$828.19	$1,397.25	$1,860.35