Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,172.33 / $4,771.00 / $9,539.00	Facility		$1,172.33	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $973.87 / $1,172.33 / $1,932.10	Professional		$973.87	$1,172.33	$1,932.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $973.91 / $1,245.42 / $1,708.09	Professional		$973.91	$1,245.42	$1,708.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,198.81 / $1,541.33 / $4,284.00	Professional		$1,198.81	$1,541.33	$4,284.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $863.85 / $1,289.09 / $2,585.13	Professional		$863.85	$1,289.09	$2,585.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $980.37 / $1,176.44 / $1,454.90	Professional		$980.37	$1,176.44	$1,454.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,085.45 / $1,300.56 / $1,981.24	Facility		$1,085.45	$1,300.56	$1,981.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,144.00 / $1,323.00 / $2,405.50	Professional		$1,144.00	$1,323.00	$2,405.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $866.25 / $1,342.72 / $6,585.00	Facility		$866.25	$1,342.72	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $866.25 / $1,342.72 / $6,585.00	Professional		$866.25	$1,342.72	$6,585.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,693.00 / $11,671.00 / $21,639.00	Facility		$6,693.00	$11,671.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $802.65 / $1,134.58 / $2,220.21	Professional		$802.65	$1,134.58	$2,220.21