Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,042.03 / $5,480.00 / $14,798.00	Facility		$1,042.03	$5,480.00	$14,798.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $876.59 / $1,042.03 / $1,143.01	Professional		$876.59	$1,042.03	$1,143.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $853.44 / $1,091.35 / $1,496.80	Professional		$853.44	$1,091.35	$1,496.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $991.48 / $1,461.12 / $7,369.00	Professional		$991.48	$1,461.12	$7,369.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $907.15 / $1,231.49 / $2,277.48	Professional		$907.15	$1,231.49	$2,277.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $873.06 / $1,047.67 / $1,292.13	Professional		$873.06	$1,047.67	$1,292.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,008.39 / $1,246.07 / $1,836.12	Facility		$1,008.39	$1,246.07	$1,836.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,175.00 / $1,324.00 / $2,167.73	Professional		$1,175.00	$1,324.00	$2,167.73
Sentara Facility/Professional Facility Modifier Low / Median / High Price $931.69 / $1,239.07 / $6,585.00	Facility		$931.69	$1,239.07	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $931.69 / $1,239.07 / $6,585.00	Professional		$931.69	$1,239.07	$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 $755.98 / $1,261.69 / $2,013.40	Professional		$755.98	$1,261.69	$2,013.40