Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,115.07 / $4,771.00 / $9,539.00	Facility		$1,115.07	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $961.26 / $1,115.07 / $1,217.01	Professional		$961.26	$1,115.07	$1,217.01
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 $899.54 / $1,150.31 / $1,577.65	Professional		$899.54	$1,150.31	$1,577.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,133.56 / $1,317.72 / $2,294.25	Professional		$1,133.56	$1,317.72	$2,294.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $989.94 / $1,317.81 / $2,442.17	Professional		$989.94	$1,317.81	$2,442.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $931.89 / $1,118.27 / $1,379.20	Professional		$931.89	$1,118.27	$1,379.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,056.03 / $1,368.50 / $1,903.16	Facility		$1,056.03	$1,368.50	$1,903.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,289.00 / $1,420.00 / $2,286.89	Professional		$1,289.00	$1,420.00	$2,286.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $989.41 / $1,325.93 / $2,353.76	Facility		$989.41	$1,325.93	$2,353.76
Sentara Facility/Professional Professional Modifier Low / Median / High Price $989.41 / $1,325.93 / $2,353.76	Professional		$989.41	$1,325.93	$2,353.76
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 $838.19 / $1,314.13 / $2,225.60	Professional		$838.19	$1,314.13	$2,225.60