Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,149.13 / $3,991.00 / $8,920.00	Facility		$1,149.13	$3,991.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $955.82 / $1,149.13 / $1,256.11	Professional		$955.82	$1,149.13	$1,256.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $930.89 / $1,190.40 / $1,632.63	Professional		$930.89	$1,190.40	$1,632.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,116.05 / $1,613.59 / $4,716.00	Professional		$1,116.05	$1,613.59	$4,716.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $988.39 / $1,358.06 / $2,518.78	Professional		$988.39	$1,358.06	$2,518.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $964.28 / $1,157.14 / $1,427.13	Professional		$964.28	$1,157.14	$1,427.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,094.20 / $1,406.64 / $1,973.03	Facility		$1,094.20	$1,406.64	$1,973.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,245.00 / $1,441.60 / $2,366.71	Professional		$1,245.00	$1,441.60	$2,366.71
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,039.84 / $1,358.02 / $4,283.00	Facility		$1,039.84	$1,358.02	$4,283.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,039.84 / $1,358.02 / $4,283.00	Professional		$1,039.84	$1,358.02	$4,283.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $7,061.00 / $12,739.00	Facility		$4,349.00	$7,061.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $885.31 / $1,357.47 / $2,226.69	Professional		$885.31	$1,357.47	$2,226.69