Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.66 / $4,771.00 / $9,539.00	Facility		$1,157.66	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,031.93 / $1,157.66 / $1,326.96	Professional		$1,031.93	$1,157.66	$1,326.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,258.11 / $10,783.31 / $14,435.00	Facility		$7,258.11	$10,783.31	$14,435.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $996.35 / $1,274.10 / $1,747.44	Professional		$996.35	$1,274.10	$1,747.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,208.70 / $1,353.74 / $2,356.96	Professional		$1,208.70	$1,353.74	$2,356.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,069.58 / $1,386.54 / $2,644.75	Professional		$1,069.58	$1,386.54	$2,644.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,016.82 / $1,220.18 / $1,504.89	Professional		$1,016.82	$1,220.18	$1,504.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,157.66 / $1,422.55 / $2,079.27	Facility		$1,157.66	$1,422.55	$2,079.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,294.00 / $1,463.00 / $2,519.83	Professional		$1,294.00	$1,463.00	$2,519.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,066.90 / $1,380.35 / $2,639.02	Facility		$1,066.90	$1,380.35	$2,639.02
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,066.90 / $1,380.35 / $2,639.02	Professional		$1,066.90	$1,380.35	$2,639.02
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 $887.22 / $1,427.47 / $2,312.58	Professional		$887.22	$1,427.47	$2,312.58