Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,070.96 / $4,771.00 / $9,539.00	Facility		$1,070.96	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $920.99 / $1,070.96 / $1,155.77	Professional		$920.99	$1,070.96	$1,155.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.55 / $1,140.08 / $1,563.63	Professional		$891.55	$1,140.08	$1,563.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,139.35 / $1,342.01 / $2,336.53	Professional		$1,139.35	$1,342.01	$2,336.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $916.16 / $1,235.38 / $2,367.37	Professional		$916.16	$1,235.38	$2,367.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $913.05 / $1,095.66 / $1,351.31	Professional		$913.05	$1,095.66	$1,351.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,052.95 / $1,265.68 / $1,809.92	Facility		$1,052.95	$1,265.68	$1,809.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,090.00 / $1,329.00 / $1,944.80	Professional		$1,090.00	$1,329.00	$1,944.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $909.76 / $1,233.82 / $2,369.40	Facility		$909.76	$1,233.82	$2,369.40
Sentara Facility/Professional Professional Modifier Low / Median / High Price $909.76 / $1,233.82 / $2,369.40	Professional		$909.76	$1,233.82	$2,369.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.00 / $3,295.00 / $5,790.00	Facility		$1,621.00	$3,295.00	$5,790.00
United Facility/Professional Professional Modifier Low / Median / High Price $795.87 / $1,127.14 / $2,088.27	Professional		$795.87	$1,127.14	$2,088.27