Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,244.91 / $4,771.00 / $9,539.00	Facility		$1,244.91	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,068.30 / $1,244.91 / $1,390.29	Professional		$1,068.30	$1,244.91	$1,390.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,121.19 / $10,543.12 / $15,180.34	Facility		$7,121.19	$10,543.12	$15,180.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,001.57 / $1,280.79 / $1,756.60	Professional		$1,001.57	$1,280.79	$1,756.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,261.18 / $1,466.33 / $2,552.98	Professional		$1,261.18	$1,466.33	$2,552.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,102.11 / $1,471.26 / $2,727.93	Professional		$1,102.11	$1,471.26	$2,727.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,037.49 / $1,244.99 / $1,535.49	Professional		$1,037.49	$1,244.99	$1,535.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,527.85 / $2,242.34	Facility		$1,174.90	$1,527.85	$2,242.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,409.00 / $1,553.00 / $2,546.14	Professional		$1,409.00	$1,553.00	$2,546.14
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,080.64 / $1,457.11 / $2,629.28	Facility		$1,080.64	$1,457.11	$2,629.28
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,080.64 / $1,457.11 / $2,629.28	Professional		$1,080.64	$1,457.11	$2,629.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,130.00 / $7,044.00	Facility		$1,547.00	$3,130.00	$7,044.00
United Facility/Professional Professional Modifier Low / Median / High Price $956.85 / $1,441.69 / $2,271.67	Professional		$956.85	$1,441.69	$2,271.67