Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,057.79 / $4,771.00 / $9,539.00	Facility		$1,057.79	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $878.80 / $1,057.79 / $1,154.74	Professional		$878.80	$1,057.79	$1,154.74
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 $854.06 / $1,092.15 / $1,497.88	Professional		$854.06	$1,092.15	$1,497.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,076.72 / $1,250.86 / $2,177.86	Professional		$1,076.72	$1,250.86	$2,177.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $938.81 / $1,250.10 / $2,318.02	Professional		$938.81	$1,250.10	$2,318.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $885.57 / $1,062.68 / $1,310.64	Professional		$885.57	$1,062.68	$1,310.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,004.18 / $1,298.19 / $1,809.39	Facility		$1,004.18	$1,298.19	$1,809.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,181.00 / $1,301.00 / $2,171.30	Professional		$1,181.00	$1,301.00	$2,171.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $915.77 / $1,235.41 / $2,234.06	Facility		$915.77	$1,235.41	$2,234.06
Sentara Facility/Professional Professional Modifier Low / Median / High Price $915.77 / $1,235.41 / $2,234.06	Professional		$915.77	$1,235.41	$2,234.06
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 $795.02 / $1,219.02 / $2,018.83	Professional		$795.02	$1,219.02	$2,018.83