Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,101.71 / $5,091.00 / $9,791.71	Facility		$1,101.71	$5,091.00	$9,791.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $944.72 / $1,101.71 / $2,183.19	Professional		$944.72	$1,101.71	$2,183.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $886.94 / $1,134.20 / $1,555.55	Professional		$886.94	$1,134.20	$1,555.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,061.89 / $1,535.88 / $7,369.00	Professional		$1,061.89	$1,535.88	$7,369.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $975.44 / $1,303.58 / $2,408.57	Professional		$975.44	$1,303.58	$2,408.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $919.07 / $1,102.88 / $1,360.22	Professional		$919.07	$1,102.88	$1,360.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,041.79 / $1,349.27 / $1,980.10	Facility		$1,041.79	$1,349.27	$1,980.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,217.00 / $1,352.14 / $2,254.82	Professional		$1,217.00	$1,352.14	$2,254.82
Sentara Facility/Professional Facility Modifier Low / Median / High Price $998.91 / $1,303.58 / $6,585.00	Facility		$998.91	$1,303.58	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $998.91 / $1,303.58 / $6,585.00	Professional		$998.91	$1,303.58	$6,585.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,693.00 / $11,671.00 / $21,639.00	Facility		$6,693.00	$11,671.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $842.22 / $1,322.82 / $2,031.86	Professional		$842.22	$1,322.82	$2,031.86