Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,103.22 / $5,980.00 / $14,867.45	Facility		$1,103.22	$5,980.00	$14,867.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $834.32 / $978.52 / $1,227.79	Professional		$834.32	$978.52	$1,227.79
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 $925.66 / $1,183.72 / $1,623.47	Professional		$925.66	$1,183.72	$1,623.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $794.00 / $1,178.13 / $2,214.34	Professional		$794.00	$1,178.13	$2,214.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $953.38 / $1,278.27 / $2,404.94	Professional		$953.38	$1,278.27	$2,404.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $949.21 / $1,139.05 / $1,404.83	Professional		$949.21	$1,139.05	$1,404.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $937.74 / $1,297.22 / $1,864.44	Facility		$937.74	$1,297.22	$1,864.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,198.58 / $1,376.00 / $2,341.66	Professional		$1,198.58	$1,376.00	$2,341.66
Sentara Facility/Professional Facility Modifier Low / Median / High Price $959.71 / $1,267.88 / $7,902.00	Facility		$959.71	$1,267.88	$7,902.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $959.71 / $1,267.88 / $7,902.00	Professional		$959.71	$1,267.88	$7,902.00
United Facility/Professional Facility Modifier Low / Median / High Price $8,367.00 / $13,296.00 / $26,537.00	Facility		$8,367.00	$13,296.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $798.29 / $1,311.77 / $2,126.07	Professional		$798.29	$1,311.77	$2,126.07