Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $992.13 / $4,771.00 / $9,539.00	Facility		$992.13	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $813.47 / $992.13 / $1,594.22	Professional		$813.47	$992.13	$1,594.22
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 $837.77 / $1,071.32 / $1,469.31	Professional		$837.77	$1,071.32	$1,469.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,064.82 / $1,201.10 / $2,091.21	Professional		$1,064.82	$1,201.10	$2,091.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $862.62 / $1,152.95 / $2,218.66	Professional		$862.62	$1,152.95	$2,218.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $841.58 / $1,009.90 / $1,245.54	Professional		$841.58	$1,009.90	$1,245.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $895.63 / $1,184.78 / $1,655.69	Facility		$895.63	$1,184.78	$1,655.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,097.00 / $1,242.00 / $2,070.00	Professional		$1,097.00	$1,242.00	$2,070.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $890.71 / $1,179.74 / $2,224.00	Facility		$890.71	$1,179.74	$2,224.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $890.71 / $1,179.74 / $2,224.00	Professional		$890.71	$1,179.74	$2,224.00
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 $736.04 / $1,146.63 / $1,916.32	Professional		$736.04	$1,146.63	$1,916.32