Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,391.10 / $7,346.52 / $14,867.45	Facility		$1,391.10	$7,346.52	$14,867.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $781.52 / $1,025.53 / $1,864.35	Professional		$781.52	$1,025.53	$1,864.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,671.00 / $14,495.61 / $20,189.45	Facility		$8,671.00	$14,495.61	$20,189.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $853.74 / $1,091.75 / $1,497.33	Professional		$853.74	$1,091.75	$1,497.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $794.00 / $1,080.64 / $2,190.10	Professional		$794.00	$1,080.64	$2,190.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $893.33 / $1,211.99 / $2,312.88	Professional		$893.33	$1,211.99	$2,312.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $871.54 / $1,045.84 / $1,289.88	Professional		$871.54	$1,045.84	$1,289.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $871.54 / $1,237.31 / $1,714.77	Facility		$871.54	$1,237.31	$1,714.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,137.00 / $1,293.00 / $2,157.50	Professional		$1,137.00	$1,293.00	$2,157.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $927.94 / $1,212.70 / $5,122.00	Facility		$927.94	$1,212.70	$5,122.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $927.94 / $1,212.70 / $5,122.00	Professional		$927.94	$1,212.70	$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 $767.73 / $1,237.96 / $2,034.10	Professional		$767.73	$1,237.96	$2,034.10