Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,093.91 / $4,771.00 / $9,539.00	Facility		$1,093.91	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $955.11 / $1,093.91 / $1,287.58	Professional		$955.11	$1,093.91	$1,287.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,385.00 / $9,527.62 / $13,270.04	Facility		$6,385.00	$9,527.62	$13,270.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $928.42 / $1,187.25 / $1,628.31	Professional		$928.42	$1,187.25	$1,628.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,117.74 / $1,251.86 / $2,179.59	Professional		$1,117.74	$1,251.86	$2,179.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $942.88 / $1,292.80 / $2,465.04	Professional		$942.88	$1,292.80	$2,465.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.75 / $1,120.50 / $1,385.58	Professional		$933.75	$1,120.50	$1,385.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,038.16 / $1,306.31 / $1,848.71	Facility		$1,038.16	$1,306.31	$1,848.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,177.00 / $1,398.28 / $2,292.50	Professional		$1,177.00	$1,398.28	$2,292.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $939.74 / $1,279.11 / $2,458.57	Facility		$939.74	$1,279.11	$2,458.57
Sentara Facility/Professional Professional Modifier Low / Median / High Price $939.74 / $1,279.11 / $2,458.57	Professional		$939.74	$1,279.11	$2,458.57
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 $802.68 / $1,210.29 / $2,137.77	Professional		$802.68	$1,210.29	$2,137.77