Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $4,897.79 / $8,317.64	Facility		$1,230.27	$4,897.79	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $2,089.30	Professional		$1,000.00	$1,230.27	$2,089.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $7,413.10 / $9,332.54	Facility		$6,606.93	$7,413.10	$9,332.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $1,949.84	Professional		$1,023.29	$1,380.38	$1,949.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,737.80 / $6,918.31	Professional		$1,148.15	$1,737.80	$6,918.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,230.27 / $2,344.23	Professional		$794.33	$1,230.27	$2,344.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,288.25 / $3,311.31	Professional		$1,047.13	$1,288.25	$3,311.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,412.54 / $2,570.40	Professional		$831.76	$1,412.54	$2,570.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,348.96 / $2,137.96	Facility		$1,047.13	$1,348.96	$2,137.96
Sentara Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,318.26 / $8,709.64	Facility		$870.96	$1,318.26	$8,709.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,318.26 / $8,709.64	Professional		$870.96	$1,318.26	$8,709.64
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,413.10 / $14,125.38	Facility		$3,890.45	$7,413.10	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,230.27 / $2,041.74	Professional		$758.58	$1,230.27	$2,041.74