Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,049.99 / $4,771.00 / $9,539.00	Facility		$1,049.99	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $872.54 / $1,049.99 / $1,146.94	Professional		$872.54	$1,049.99	$1,146.94
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 $848.52 / $1,085.07 / $1,488.17	Professional		$848.52	$1,085.07	$1,488.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,064.51 / $1,192.25 / $2,075.79	Professional		$1,064.51	$1,192.25	$2,075.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $932.42 / $1,240.90 / $2,301.62	Professional		$932.42	$1,240.90	$2,301.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $879.28 / $1,055.14 / $1,301.33	Professional		$879.28	$1,055.14	$1,301.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $997.05 / $1,289.06 / $1,796.99	Facility		$997.05	$1,289.06	$1,796.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,162.00 / $1,296.00 / $2,157.14	Professional		$1,162.00	$1,296.00	$2,157.14
Sentara Facility/Professional Facility Modifier Low / Median / High Price $909.69 / $1,240.90 / $2,224.00	Facility		$909.69	$1,240.90	$2,224.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $909.69 / $1,240.90 / $2,224.00	Professional		$909.69	$1,240.90	$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 $792.50 / $1,220.54 / $2,004.73	Professional		$792.50	$1,220.54	$2,004.73