Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,171.63 / $4,771.00 / $9,539.00	Facility		$1,171.63	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $973.38 / $1,171.63 / $1,278.65	Professional		$973.38	$1,171.63	$1,278.65
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 $944.41 / $1,207.69 / $1,656.34	Professional		$944.41	$1,207.69	$1,656.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,189.57 / $1,382.46 / $2,406.96	Professional		$1,189.57	$1,382.46	$2,406.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,039.91 / $1,384.66 / $2,569.44	Professional		$1,039.91	$1,384.66	$2,569.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $978.93 / $1,174.72 / $1,448.82	Professional		$978.93	$1,174.72	$1,448.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,109.01 / $1,439.24 / $2,000.57	Facility		$1,109.01	$1,439.24	$2,000.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,298.00 / $1,440.00 / $2,400.91	Professional		$1,298.00	$1,440.00	$2,400.91
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,016.43 / $1,385.36 / $2,476.48	Facility		$1,016.43	$1,385.36	$2,476.48
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,016.43 / $1,385.36 / $2,476.48	Professional		$1,016.43	$1,385.36	$2,476.48
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 $885.70 / $1,382.31 / $2,235.98	Professional		$885.70	$1,382.31	$2,235.98