Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,051.59 / $4,771.00 / $9,539.00	Facility		$1,051.59	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $873.00 / $1,051.59 / $1,214.31	Professional		$873.00	$1,051.59	$1,214.31
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 $877.10 / $1,121.61 / $1,538.30	Professional		$877.10	$1,121.61	$1,538.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,054.83 / $1,181.41 / $2,056.92	Professional		$1,054.83	$1,181.41	$2,056.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $880.68 / $1,163.68 / $2,318.96	Professional		$880.68	$1,163.68	$2,318.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $884.10 / $1,060.92 / $1,312.90	Professional		$884.10	$1,060.92	$1,312.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $980.56 / $1,224.33 / $1,777.20	Facility		$980.56	$1,224.33	$1,777.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $906.00 / $1,292.00 / $2,164.00	Professional		$906.00	$1,292.00	$2,164.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $884.11 / $1,204.35 / $2,324.91	Facility		$884.11	$1,204.35	$2,324.91
Sentara Facility/Professional Professional Modifier Low / Median / High Price $884.11 / $1,204.35 / $2,324.91	Professional		$884.11	$1,204.35	$2,324.91
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 $755.12 / $1,135.06 / $1,991.63	Professional		$755.12	$1,135.06	$1,991.63