Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $5,495.41 / $10,000.00	Facility		$1,023.29	$5,495.41	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $933.25 / $1,584.89	Professional		$776.25	$933.25	$1,584.89
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 $794.33 / $1,071.52 / $1,513.56	Professional		$794.33	$1,071.52	$1,513.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,318.26 / $12,022.64	Professional		$870.96	$1,318.26	$12,022.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,000.00 / $1,778.28	Professional		$741.31	$1,000.00	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $912.01 / $2,290.87	Professional		$724.44	$912.01	$2,290.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,202.26 / $1,995.26	Professional		$891.25	$1,202.26	$1,995.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,071.52 / $1,778.28	Facility		$851.14	$1,071.52	$1,778.28
Sentara Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,071.52 / $10,000.00	Facility		$707.95	$1,071.52	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,071.52 / $10,000.00	Professional		$707.95	$1,071.52	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $11,481.54 / $23,988.33	Facility		$6,760.83	$11,481.54	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,000.00 / $1,621.81	Professional		$630.96	$1,000.00	$1,621.81