Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,130.79 / $4,771.00 / $9,539.00	Facility		$1,130.79	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $967.13 / $1,130.79 / $1,852.90	Professional		$967.13	$1,130.79	$1,852.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,289.00 / $4,699.53 / $6,545.49	Facility		$3,289.00	$4,699.53	$6,545.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $934.57 / $1,195.10 / $1,639.09	Professional		$934.57	$1,195.10	$1,639.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,132.25 / $1,268.11 / $2,207.89	Professional		$1,132.25	$1,268.11	$2,207.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $943.89 / $1,325.01 / $2,487.69	Professional		$943.89	$1,325.01	$2,487.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $940.00 / $1,128.00 / $1,394.81	Professional		$940.00	$1,128.00	$1,394.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,045.28 / $1,316.35 / $1,904.96	Facility		$1,045.28	$1,316.35	$1,904.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,179.00 / $1,392.00 / $2,307.36	Professional		$1,179.00	$1,392.00	$2,307.36
Sentara Facility/Professional Facility Modifier Low / Median / High Price $925.77 / $1,295.59 / $2,474.81	Facility		$925.77	$1,295.59	$2,474.81
Sentara Facility/Professional Professional Modifier Low / Median / High Price $925.77 / $1,295.59 / $2,474.81	Professional		$925.77	$1,295.59	$2,474.81
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 $810.06 / $1,263.08 / $2,157.42	Professional		$810.06	$1,263.08	$2,157.42