Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,005.35 / $4,771.00 / $9,539.00	Facility		$1,005.35	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $836.30 / $1,005.35 / $1,099.80	Professional		$836.30	$1,005.35	$1,099.80
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 $813.49 / $1,040.27 / $1,426.73	Professional		$813.49	$1,040.27	$1,426.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,019.95 / $1,142.33 / $1,988.90	Professional		$1,019.95	$1,142.33	$1,988.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $894.37 / $1,188.14 / $2,206.04	Professional		$894.37	$1,188.14	$2,206.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $843.29 / $1,011.95 / $1,248.07	Professional		$843.29	$1,011.95	$1,248.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $956.49 / $1,235.59 / $1,726.04	Facility		$956.49	$1,235.59	$1,726.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,111.00 / $1,238.00 / $2,068.44	Professional		$1,111.00	$1,238.00	$2,068.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $873.08 / $1,193.92 / $2,224.00	Facility		$873.08	$1,193.92	$2,224.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $873.08 / $1,193.92 / $2,224.00	Professional		$873.08	$1,193.92	$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 $758.18 / $1,195.48 / $1,950.23	Professional		$758.18	$1,195.48	$1,950.23