Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.87 / $5,412.00 / $11,425.00	Facility		$1,023.87	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.20 / $1,023.87 / $1,119.52	Professional		$851.20	$1,023.87	$1,119.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,604.05 / $10,127.70 / $14,105.84	Facility		$6,604.05	$10,127.70	$14,105.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $826.70 / $1,057.17 / $1,449.90	Professional		$826.70	$1,057.17	$1,449.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,038.33 / $1,162.94 / $2,024.76	Professional		$1,038.33	$1,162.94	$2,024.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $909.87 / $1,210.03 / $2,248.13	Professional		$909.87	$1,210.03	$2,248.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $856.51 / $1,027.81 / $1,267.63	Professional		$856.51	$1,027.81	$1,267.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $970.46 / $1,259.23 / $1,750.76	Facility		$970.46	$1,259.23	$1,750.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,135.00 / $1,261.00 / $2,101.69	Professional		$1,135.00	$1,261.00	$2,101.69
Sentara Facility/Professional Facility Modifier Low / Median / High Price $889.45 / $1,217.49 / $2,224.00	Facility		$889.45	$1,217.49	$2,224.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $889.45 / $1,217.49 / $2,224.00	Professional		$889.45	$1,217.49	$2,224.00
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 $774.52 / $1,176.80 / $1,956.83	Professional		$774.52	$1,176.80	$1,956.83