Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $995.79 / $4,771.00 / $9,539.00	Facility		$995.79	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $853.48 / $995.79 / $1,091.83	Professional		$853.48	$995.79	$1,091.83
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 $808.26 / $1,033.58 / $1,417.56	Professional		$808.26	$1,033.58	$1,417.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,013.28 / $1,134.86 / $1,975.90	Professional		$1,013.28	$1,134.86	$1,975.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $888.07 / $1,176.83 / $2,190.58	Professional		$888.07	$1,176.83	$2,190.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $837.89 / $1,005.47 / $1,240.08	Professional		$837.89	$1,005.47	$1,240.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $950.47 / $1,227.41 / $1,712.81	Facility		$950.47	$1,227.41	$1,712.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,142.00 / $1,271.00 / $2,055.10	Professional		$1,142.00	$1,271.00	$2,055.10
Sentara Facility/Professional Facility Modifier Low / Median / High Price $866.77 / $1,181.01 / $2,218.48	Facility		$866.77	$1,181.01	$2,218.48
Sentara Facility/Professional Professional Modifier Low / Median / High Price $866.77 / $1,181.01 / $2,218.48	Professional		$866.77	$1,181.01	$2,218.48
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 $752.42 / $1,179.99 / $1,936.57	Professional		$752.42	$1,179.99	$1,936.57