Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,073.09 / $5,087.00 / $8,920.00	Facility		$1,073.09	$5,087.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $952.76 / $1,072.69 / $2,103.27	Professional		$952.76	$1,072.69	$2,103.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $863.58 / $1,104.33 / $1,514.58	Professional		$863.58	$1,104.33	$1,514.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,034.24 / $1,495.11 / $11,515.00	Professional		$1,034.24	$1,495.11	$11,515.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $950.52 / $1,267.72 / $2,348.98	Professional		$950.52	$1,267.72	$2,348.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $894.77 / $1,073.72 / $1,324.26	Professional		$894.77	$1,073.72	$1,324.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,014.47 / $1,312.06 / $1,931.45	Facility		$1,014.47	$1,312.06	$1,931.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,189.00 / $1,319.00 / $2,195.42	Professional		$1,189.00	$1,319.00	$2,195.42
Sentara Facility/Professional Facility Modifier Low / Median / High Price $955.08 / $1,267.60 / $5,122.00	Facility		$955.08	$1,267.60	$5,122.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $955.08 / $1,267.60 / $5,122.00	Professional		$955.08	$1,267.60	$5,122.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,373.00 / $17,192.00	Facility		$6,303.00	$9,373.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $788.81 / $1,262.09 / $2,046.14	Professional		$788.81	$1,262.09	$2,046.14