Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,630.78 / $9,549.93	Facility		$1,047.13	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,047.13 / $1,513.56	Professional		$870.96	$1,047.13	$1,513.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $5,248.07 / $7,079.46	Facility		$3,467.37	$5,248.07	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,288.25 / $1,819.70	Professional		$977.24	$1,288.25	$1,819.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,258.93 / $1,621.81	Professional		$1,000.00	$1,258.93	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,148.15 / $2,238.72	Professional		$831.76	$1,148.15	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,174.90 / $3,019.95	Professional		$933.25	$1,174.90	$3,019.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,479.11 / $2,290.87	Professional		$1,202.26	$1,479.11	$2,290.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,318.26 / $2,041.74	Facility		$954.99	$1,318.26	$2,041.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,258.93 / $5,248.07	Facility		$870.96	$1,258.93	$5,248.07
Sentara Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,258.93 / $5,248.07	Professional		$870.96	$1,258.93	$5,248.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,467.37 / $7,079.46	Facility		$1,698.24	$3,467.37	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,148.15 / $1,995.26	Professional		$776.25	$1,148.15	$1,995.26