Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,108.76 / $4,771.00 / $9,539.00	Facility		$1,108.76	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $937.33 / $1,108.76 / $1,558.79	Professional		$937.33	$1,108.76	$1,558.79
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 $880.53 / $1,121.08 / $1,562.56	Professional		$880.53	$1,121.08	$1,562.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,139.42 / $1,139.42 / $2,221.87	Professional		$1,139.42	$1,139.42	$2,221.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $980.41 / $1,338.40 / $2,249.33	Professional		$980.41	$1,338.40	$2,249.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $901.63 / $1,081.96 / $1,334.41	Professional		$901.63	$1,081.96	$1,334.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,108.76 / $1,363.41 / $2,037.84	Facility		$1,108.76	$1,363.41	$2,037.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,249.00 / $1,419.00 / $2,219.04	Professional		$1,249.00	$1,419.00	$2,219.04
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,010.39 / $1,359.47 / $4,310.99	Facility		$1,010.39	$1,359.47	$4,310.99
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,010.39 / $1,359.47 / $4,310.99	Professional		$1,010.39	$1,359.47	$4,310.99
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 $865.10 / $1,511.58 / $2,163.11	Professional		$865.10	$1,511.58	$2,163.11