Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,218.55 / $5,301.00 / $23,789.00	Facility		$1,218.55	$5,301.00	$23,789.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $982.16 / $1,147.32 / $3,712.85	Professional		$982.16	$1,147.32	$3,712.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,104.00 / $20,665.00 / $23,706.00	Facility		$15,104.00	$20,665.00	$23,706.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $886.30 / $1,128.42 / $1,572.79	Professional		$886.30	$1,128.42	$1,572.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $778.00 / $1,172.77 / $2,286.90	Professional		$778.00	$1,172.77	$2,286.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $995.63 / $1,375.76 / $2,711.11	Professional		$995.63	$1,375.76	$2,711.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $929.01 / $1,114.82 / $1,374.93	Professional		$929.01	$1,114.82	$1,374.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,049.03 / $1,376.96 / $2,054.78	Facility		$1,049.03	$1,376.96	$2,054.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,244.00 / $1,476.00 / $1,831.00	Professional		$1,244.00	$1,476.00	$1,831.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,000.35 / $1,335.02 / $5,502.98	Facility		$1,000.35	$1,335.02	$5,502.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,000.35 / $1,335.02 / $5,502.98	Professional		$1,000.35	$1,335.02	$5,502.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,130.00 / $7,044.00	Facility		$1,547.00	$3,130.00	$7,044.00
United Facility/Professional Professional Modifier Low / Median / High Price $852.74 / $1,403.24 / $2,164.37	Professional		$852.74	$1,403.24	$2,164.37