Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,051.09 / $5,087.00 / $8,920.00	Facility		$1,051.09	$5,087.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $871.93 / $1,051.09 / $1,144.63	Professional		$871.93	$1,051.09	$1,144.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,671.00 / $14,927.78 / $20,791.37	Facility		$8,671.00	$14,927.78	$20,791.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $847.91 / $1,084.29 / $1,487.10	Professional		$847.91	$1,084.29	$1,487.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,015.61 / $1,468.28 / $4,716.00	Professional		$1,015.61	$1,468.28	$4,716.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.72 / $1,242.20 / $2,293.78	Professional		$933.72	$1,242.20	$2,293.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $878.96 / $1,054.75 / $1,300.85	Professional		$878.96	$1,054.75	$1,300.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $996.71 / $1,289.98 / $1,796.38	Facility		$996.71	$1,289.98	$1,796.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,164.00 / $1,292.00 / $2,155.75	Professional		$1,164.00	$1,292.00	$2,155.75
Sentara Facility/Professional Facility Modifier Low / Median / High Price $948.14 / $1,236.66 / $4,283.00	Facility		$948.14	$1,236.66	$4,283.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $948.14 / $1,236.66 / $4,283.00	Professional		$948.14	$1,236.66	$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 $786.41 / $1,188.17 / $1,910.14	Professional		$786.41	$1,188.17	$1,910.14