Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,142.57 / $4,771.00 / $9,539.00	Facility		$1,142.57	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $988.00 / $1,142.57 / $1,618.51	Professional		$988.00	$1,142.57	$1,618.51
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 $913.64 / $1,163.22 / $1,621.30	Professional		$913.64	$1,163.22	$1,621.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,182.73 / $1,182.73 / $2,306.32	Professional		$1,182.73	$1,182.73	$2,306.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,017.28 / $1,363.04 / $2,334.76	Professional		$1,017.28	$1,363.04	$2,334.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $935.37 / $1,122.44 / $1,384.35	Professional		$935.37	$1,122.44	$1,384.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,142.57 / $1,414.61 / $2,115.10	Facility		$1,142.57	$1,414.61	$2,115.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,318.00 / $1,474.00 / $2,302.39	Professional		$1,318.00	$1,474.00	$2,302.39
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,050.31 / $1,403.13 / $4,462.00	Facility		$1,050.31	$1,403.13	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,050.31 / $1,403.13 / $4,462.00	Professional		$1,050.31	$1,403.13	$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 $897.79 / $1,521.98 / $2,244.35	Professional		$897.79	$1,521.98	$2,244.35