Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,008.01 / $5,412.00 / $14,867.45	Facility		$1,008.01	$5,412.00	$14,867.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $766.14 / $908.51 / $1,214.42	Professional		$766.14	$908.51	$1,214.42
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 $849.76 / $1,086.65 / $1,490.34	Professional		$849.76	$1,086.65	$1,490.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,075.60 / $1,243.54 / $2,165.09	Professional		$1,075.60	$1,243.54	$2,165.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $889.45 / $1,191.29 / $2,282.78	Professional		$889.45	$1,191.29	$2,282.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $867.75 / $1,041.30 / $1,284.27	Professional		$867.75	$1,041.30	$1,284.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $864.35 / $1,216.48 / $1,703.28	Facility		$864.35	$1,216.48	$1,703.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,113.00 / $1,273.00 / $2,147.54	Professional		$1,113.00	$1,273.00	$2,147.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $914.30 / $1,198.63 / $2,234.23	Facility		$914.30	$1,198.63	$2,234.23
Sentara Facility/Professional Professional Modifier Low / Median / High Price $914.30 / $1,198.63 / $2,234.23	Professional		$914.30	$1,198.63	$2,234.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,130.00 / $5,226.00	Facility		$1,547.00	$3,130.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $756.11 / $1,176.89 / $2,005.03	Professional		$756.11	$1,176.89	$2,005.03