Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,047.13 / $1,621.81	Facility		$912.01	$1,047.13	$1,621.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $912.01 / $1,584.89	Professional		$776.25	$912.01	$1,584.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $10,471.29 / $14,125.38	Facility		$4,168.69	$10,471.29	$14,125.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,202.26 / $1,698.24	Professional		$933.25	$1,202.26	$1,698.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,862.09 / $2,398.83	Professional		$1,479.11	$1,862.09	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,230.27 / $1,949.84	Professional		$851.14	$1,230.27	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,000.00 / $2,511.89	Professional		$794.33	$1,000.00	$2,511.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $2,187.76	Professional		$1,479.11	$1,949.84	$2,187.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,348.96 / $2,041.74	Facility		$891.25	$1,348.96	$2,041.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,258.93 / $4,570.88	Facility		$870.96	$1,258.93	$4,570.88
Sentara Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,230.27 / $4,570.88	Professional		$870.96	$1,230.27	$4,570.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,890.45 / $7,079.46	Facility		$1,698.24	$3,890.45	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,174.90 / $1,862.09	Professional		$758.58	$1,174.90	$1,862.09