Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $918.85 / $1,054.34 / $2,565.01	Facility		$918.85	$1,054.34	$2,565.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $855.98 / $1,054.34 / $1,706.23	Professional		$855.98	$1,054.34	$1,706.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,104.00 / $9,336.50 / $13,003.86	Facility		$4,104.00	$9,336.50	$13,003.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $866.35 / $1,107.86 / $1,519.44	Professional		$866.35	$1,107.86	$1,519.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,650.00 / $1,848.00 / $3,217.50	Professional		$1,650.00	$1,848.00	$3,217.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $907.43 / $1,255.19 / $2,352.48	Professional		$907.43	$1,255.19	$2,352.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $868.20 / $1,041.83 / $1,284.94	Professional		$868.20	$1,041.83	$1,284.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $918.85 / $1,293.11 / $1,929.46	Facility		$918.85	$1,293.11	$1,929.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,095.00 / $1,354.00 / $2,146.54	Professional		$1,095.00	$1,354.00	$2,146.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $933.97 / $1,273.23 / $2,267.27	Facility		$933.97	$1,273.23	$2,267.27
Sentara Facility/Professional Professional Modifier Low / Median / High Price $931.94 / $1,273.20 / $2,265.57	Professional		$931.94	$1,273.20	$2,265.57
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 $839.93 / $1,278.43 / $2,070.17	Professional		$839.93	$1,278.43	$2,070.17