Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,052.83 / $5,048.00 / $14,796.00	Facility		$1,052.83	$5,048.00	$14,796.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.31 / $1,052.83 / $1,144.01	Professional		$870.31	$1,052.83	$1,144.01
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 $845.45 / $1,081.14 / $1,482.78	Professional		$845.45	$1,081.14	$1,482.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,067.03 / $1,195.54 / $2,081.53	Professional		$1,067.03	$1,195.54	$2,081.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $930.82 / $1,244.25 / $2,303.30	Professional		$930.82	$1,244.25	$2,303.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $876.23 / $1,051.48 / $1,296.82	Professional		$876.23	$1,051.48	$1,296.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $994.45 / $1,291.03 / $1,803.26	Facility		$994.45	$1,291.03	$1,803.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,161.00 / $1,290.00 / $2,149.61	Professional		$1,161.00	$1,290.00	$2,149.61
Sentara Facility/Professional Facility Modifier Low / Median / High Price $910.60 / $1,235.58 / $2,224.00	Facility		$910.60	$1,235.58	$2,224.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $910.60 / $1,235.58 / $2,224.00	Professional		$910.60	$1,235.58	$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 $785.45 / $1,155.78 / $2,010.76	Professional		$785.45	$1,155.78	$2,010.76