Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,135.48 / $5,412.00 / $11,024.00	Facility		$1,135.48	$5,412.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,005.06 / $1,135.48 / $1,314.19	Professional		$1,005.06	$1,135.48	$1,314.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,525.00 / $11,065.00 / $12,418.00	Facility		$8,525.00	$11,065.00	$12,418.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $948.71 / $1,213.19 / $1,663.89	Professional		$948.71	$1,213.19	$1,663.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,090.29 / $1,563.75 / $9,211.00	Professional		$1,090.29	$1,563.75	$9,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $999.72 / $1,341.93 / $2,555.37	Professional		$999.72	$1,341.93	$2,555.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $966.26 / $1,159.51 / $1,430.06	Professional		$966.26	$1,159.51	$1,430.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,062.42 / $1,360.48 / $1,898.04	Facility		$1,062.42	$1,360.48	$1,898.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,258.00 / $1,434.00 / $2,372.98	Professional		$1,258.00	$1,434.00	$2,372.98
Sentara Facility/Professional Facility Modifier Low / Median / High Price $985.58 / $1,321.84 / $7,902.00	Facility		$985.58	$1,321.84	$7,902.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $985.58 / $1,321.84 / $7,902.00	Professional		$985.58	$1,321.84	$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 $848.22 / $1,320.96 / $2,237.19	Professional		$848.22	$1,320.96	$2,237.19