Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,013.10 / $5,412.00 / $11,425.00	Facility		$1,013.10	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $841.49 / $1,013.10 / $1,105.76	Professional		$841.49	$1,013.10	$1,105.76
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 $817.18 / $1,044.99 / $1,433.20	Professional		$817.18	$1,044.99	$1,433.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,025.74 / $1,148.83 / $2,000.19	Professional		$1,025.74	$1,148.83	$2,000.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $899.07 / $1,198.21 / $2,219.73	Professional		$899.07	$1,198.21	$2,219.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $846.34 / $1,015.61 / $1,252.58	Professional		$846.34	$1,015.61	$1,252.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $959.09 / $1,239.86 / $1,729.88	Facility		$959.09	$1,239.86	$1,729.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,129.00 / $1,246.00 / $2,077.19	Professional		$1,129.00	$1,246.00	$2,077.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $876.09 / $1,201.33 / $2,224.00	Facility		$876.09	$1,201.33	$2,224.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $876.09 / $1,201.33 / $2,224.00	Professional		$876.09	$1,201.33	$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 $754.35 / $1,162.46 / $1,932.20	Professional		$754.35	$1,162.46	$1,932.20