Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,077.06 / $4,771.00 / $9,539.00	Facility		$1,077.06	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $901.28 / $1,077.06 / $1,175.91	Professional		$901.28	$1,077.06	$1,175.91
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 $869.42 / $1,111.80 / $1,524.83	Professional		$869.42	$1,111.80	$1,524.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,095.66 / $1,272.20 / $2,214.98	Professional		$1,095.66	$1,272.20	$2,214.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $955.88 / $1,272.89 / $2,361.05	Professional		$955.88	$1,272.89	$2,361.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $901.03 / $1,081.24 / $1,333.52	Professional		$901.03	$1,081.24	$1,333.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,021.33 / $1,321.85 / $1,840.12	Facility		$1,021.33	$1,321.85	$1,840.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,211.00 / $1,335.00 / $2,210.26	Professional		$1,211.00	$1,335.00	$2,210.26
Sentara Facility/Professional Facility Modifier Low / Median / High Price $932.04 / $1,272.95 / $2,275.54	Facility		$932.04	$1,272.95	$2,275.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $932.04 / $1,272.95 / $2,275.54	Professional		$932.04	$1,272.95	$2,275.54
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 $828.74 / $1,270.73 / $2,055.48	Professional		$828.74	$1,270.73	$2,055.48