Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,191.23 / $5,980.00 / $14,867.45	Facility		$1,191.23	$5,980.00	$14,867.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $978.27 / $1,191.23 / $1,316.94	Professional		$978.27	$1,191.23	$1,316.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,671.00 / $14,927.78 / $20,791.37	Facility		$8,671.00	$14,927.78	$20,791.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $949.63 / $1,214.36 / $1,665.50	Professional		$949.63	$1,214.36	$1,665.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,196.32 / $1,345.99 / $2,343.46	Professional		$1,196.32	$1,345.99	$2,343.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,045.29 / $1,407.81 / $2,593.81	Professional		$1,045.29	$1,407.81	$2,593.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $983.99 / $1,180.79 / $1,456.31	Professional		$983.99	$1,180.79	$1,456.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,114.86 / $1,461.96 / $2,012.09	Facility		$1,114.86	$1,461.96	$2,012.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,315.00 / $1,455.00 / $2,414.17	Professional		$1,315.00	$1,455.00	$2,414.17
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,027.04 / $1,398.49 / $2,499.96	Facility		$1,027.04	$1,398.49	$2,499.96
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,027.04 / $1,398.49 / $2,499.96	Professional		$1,027.04	$1,398.49	$2,499.96
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 $910.91 / $1,441.27 / $2,159.98	Professional		$910.91	$1,441.27	$2,159.98