Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,119.99 / $4,771.00 / $9,539.00	Facility		$1,119.99	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $935.86 / $1,119.99 / $1,297.31	Professional		$935.86	$1,119.99	$1,297.31
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 $953.54 / $1,067.96 / $1,859.40	Professional		$953.54	$1,067.96	$1,859.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $888.48 / $1,200.98 / $2,487.69	Professional		$888.48	$1,200.98	$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 $1,040.96 / $1,303.95 / $1,892.78	Facility		$1,040.96	$1,303.95	$1,892.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,009.00 / $1,306.00 / $2,014.00	Professional		$1,009.00	$1,306.00	$2,014.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $914.17 / $1,214.48 / $2,474.81	Facility		$914.17	$1,214.48	$2,474.81
Sentara Facility/Professional Professional Modifier Low / Median / High Price $914.17 / $1,214.48 / $2,474.81	Professional		$914.17	$1,214.48	$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 / $1,175.00 / $2,136.54	Professional		$810.06	$1,175.00	$2,136.54