Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,018.67 / $5,412.00 / $11,024.00	Facility		$1,018.67	$5,412.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $877.45 / $1,018.67 / $1,266.51	Professional		$877.45	$1,018.67	$1,266.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,814.00 / $13,820.00 / $14,999.00	Facility		$10,814.00	$13,820.00	$14,999.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $824.86 / $1,054.81 / $1,446.67	Professional		$824.86	$1,054.81	$1,446.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,040.60 / $1,553.44 / $8,031.00	Professional		$1,040.60	$1,553.44	$8,031.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $906.20 / $1,203.88 / $2,236.11	Professional		$906.20	$1,203.88	$2,236.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $855.27 / $1,026.32 / $1,265.80	Professional		$855.27	$1,026.32	$1,265.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $970.38 / $1,248.34 / $1,666.48	Facility		$970.38	$1,248.34	$1,666.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,123.00 / $1,254.00 / $2,097.23	Professional		$1,123.00	$1,254.00	$2,097.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $884.44 / $1,194.13 / $2,155.09	Facility		$884.44	$1,194.13	$2,155.09
Sentara Facility/Professional Professional Modifier Low / Median / High Price $884.44 / $1,194.13 / $2,155.09	Professional		$884.44	$1,194.13	$2,155.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,893.00 / $4,428.00	Facility		$1,066.00	$1,893.00	$4,428.00
United Facility/Professional Professional Modifier Low / Median / High Price $785.81 / $1,204.90 / $1,817.06	Professional		$785.81	$1,204.90	$1,817.06