Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,140.59 / $4,771.00 / $9,539.00	Facility		$1,140.59	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $987.63 / $1,140.59 / $1,263.55	Professional		$987.63	$1,140.59	$1,263.55
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 $941.34 / $1,203.76 / $1,650.95	Professional		$941.34	$1,203.76	$1,650.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,188.88 / $1,397.01 / $2,432.29	Professional		$1,188.88	$1,397.01	$2,432.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.49 / $1,347.98 / $2,562.78	Professional		$1,023.49	$1,347.98	$2,562.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $963.47 / $1,156.16 / $1,425.94	Professional		$963.47	$1,156.16	$1,425.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,101.54 / $1,397.88 / $2,010.42	Facility		$1,101.54	$1,397.88	$2,010.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,317.00 / $1,456.00 / $2,378.26	Professional		$1,317.00	$1,456.00	$2,378.26
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,023.08 / $1,356.28 / $2,470.03	Facility		$1,023.08	$1,356.28	$2,470.03
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,023.08 / $1,356.28 / $2,470.03	Professional		$1,023.08	$1,356.28	$2,470.03
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 $860.95 / $1,389.58 / $2,265.61	Professional		$860.95	$1,389.58	$2,265.61