Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,072.00 / $4,771.00 / $9,539.00	Facility		$1,072.00	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $890.80 / $1,072.00 / $1,198.60	Professional		$890.80	$1,072.00	$1,198.60
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 $866.04 / $1,107.47 / $1,518.89	Professional		$866.04	$1,107.47	$1,518.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,085.67 / $1,215.95 / $2,117.06	Professional		$1,085.67	$1,215.95	$2,117.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $897.60 / $1,077.11 / $1,328.45	Professional		$897.60	$1,077.11	$1,328.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,017.67 / $1,316.97 / $1,833.46	Facility		$1,017.67	$1,316.97	$1,833.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,197.00 / $1,318.00 / $2,201.78	Professional		$1,197.00	$1,318.00	$2,201.78
Sentara Facility/Professional Facility Modifier Low / Median / High Price $928.37 / $1,267.83 / $2,266.38	Facility		$928.37	$1,267.83	$2,266.38
Sentara Facility/Professional Professional Modifier Low / Median / High Price $928.37 / $1,267.83 / $2,266.38	Professional		$928.37	$1,267.83	$2,266.38
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 $825.69 / $1,308.65 / $2,058.73	Professional		$825.69	$1,308.65	$2,058.73