Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $5,011.87 / $8,317.64	Facility		$1,047.13	$5,011.87	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,023.29 / $2,089.30	Professional		$831.76	$1,023.29	$2,089.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $6,760.83 / $7,413.10	Facility		$5,888.44	$6,760.83	$7,413.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,412.54 / $2,398.83	Professional		$933.25	$1,412.54	$2,398.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,412.54 / $5,495.41	Professional		$977.24	$1,412.54	$5,495.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,174.90 / $1,380.38	Professional		$912.01	$1,174.90	$1,380.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $2,290.87	Professional		$1,122.02	$1,412.54	$2,290.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,202.26 / $1,905.46	Facility		$912.01	$1,202.26	$1,905.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Sentara Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,174.90 / $7,413.10	Facility		$812.83	$1,174.90	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,174.90 / $7,413.10	Professional		$812.83	$1,174.90	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $9,549.93 / $19,054.61	Facility		$5,623.41	$9,549.93	$19,054.61
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,071.52 / $1,862.09	Professional		$691.83	$1,071.52	$1,862.09