Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,075.06 / $5,087.00 / $8,925.00	Facility		$1,075.06	$5,087.00	$8,925.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $955.65 / $1,075.06 / $1,332.17	Professional		$955.65	$1,075.06	$1,332.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $865.43 / $1,106.69 / $1,517.82	Professional		$865.43	$1,106.69	$1,517.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,036.43 / $1,499.57 / $11,515.00	Professional		$1,036.43	$1,499.57	$11,515.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $952.49 / $1,285.92 / $2,354.19	Professional		$952.49	$1,285.92	$2,354.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $896.63 / $1,075.96 / $1,327.01	Professional		$896.63	$1,075.96	$1,327.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,016.60 / $1,319.38 / $1,935.81	Facility		$1,016.60	$1,319.38	$1,935.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,192.00 / $1,350.24 / $2,200.17	Professional		$1,192.00	$1,350.24	$2,200.17
Sentara Facility/Professional Facility Modifier Low / Median / High Price $973.07 / $1,307.78 / $5,122.00	Facility		$973.07	$1,307.78	$5,122.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $973.07 / $1,307.78 / $5,122.00	Professional		$973.07	$1,307.78	$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 $826.76 / $1,304.63 / $1,960.44	Professional		$826.76	$1,304.63	$1,960.44