Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,165.67 / $4,771.00 / $9,539.00	Facility		$1,165.67	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $885.23 / $1,165.67 / $1,318.18	Professional		$885.23	$1,165.67	$1,318.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,076.18 / $14,552.64 / $20,189.45	Facility		$10,076.18	$14,552.64	$20,189.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $981.59 / $1,255.24 / $1,721.56	Professional		$981.59	$1,255.24	$1,721.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,241.59 / $1,440.71 / $2,508.38	Professional		$1,241.59	$1,440.71	$2,508.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,026.88 / $1,377.61 / $2,640.19	Professional		$1,026.88	$1,377.61	$2,640.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,001.83 / $1,202.20 / $1,482.71	Professional		$1,001.83	$1,202.20	$1,482.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $999.27 / $1,404.52 / $1,992.27	Facility		$999.27	$1,404.52	$1,992.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,297.00 / $1,474.00 / $2,480.33	Professional		$1,297.00	$1,474.00	$2,480.33
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,056.89 / $1,386.10 / $5,122.00	Facility		$1,056.89	$1,386.10	$5,122.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,056.89 / $1,386.10 / $5,122.00	Professional		$1,056.89	$1,386.10	$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 $876.38 / $1,402.47 / $2,317.36	Professional		$876.38	$1,402.47	$2,317.36