Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,205.82 / $5,360.00 / $9,975.00	Facility		$1,205.82	$5,360.00	$9,975.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,032.65 / $1,199.78 / $1,492.23	Professional		$1,032.65	$1,199.78	$1,492.23
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 $968.99 / $1,239.13 / $1,699.46	Professional		$968.99	$1,239.13	$1,699.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $794.00 / $1,160.47 / $2,274.87	Professional		$794.00	$1,160.47	$2,274.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,051.17 / $1,417.92 / $2,631.50	Professional		$1,051.17	$1,417.92	$2,631.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,004.26 / $1,205.10 / $1,486.30	Professional		$1,004.26	$1,205.10	$1,486.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,138.59 / $1,472.46 / $2,160.50	Facility		$1,138.59	$1,472.46	$2,160.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,328.00 / $1,505.04 / $2,463.65	Professional		$1,328.00	$1,505.04	$2,463.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,040.18 / $1,426.65 / $4,283.00	Facility		$1,040.18	$1,426.65	$4,283.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,040.18 / $1,426.65 / $4,283.00	Professional		$1,040.18	$1,426.65	$4,283.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $7,061.00 / $12,739.00	Facility		$4,349.00	$7,061.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $924.05 / $1,414.88 / $2,326.35	Professional		$924.05	$1,414.88	$2,326.35