Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,100.55 / $3,645.00 / $8,294.00	Facility		$1,100.55	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $964.45 / $1,100.55 / $1,368.82	Professional		$964.45	$1,100.55	$1,368.82
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 $937.03 / $1,198.26 / $1,643.41	Professional		$937.03	$1,198.26	$1,643.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,153.44 / $1,628.18 / $13,882.00	Professional		$1,153.44	$1,628.18	$13,882.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $988.55 / $1,300.65 / $2,412.14	Professional		$988.55	$1,300.65	$2,412.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $968.91 / $1,162.69 / $1,433.99	Professional		$968.91	$1,162.69	$1,433.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,100.55 / $1,349.01 / $1,955.08	Facility		$1,100.55	$1,349.01	$1,955.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,223.00 / $1,389.00 / $2,382.62	Professional		$1,223.00	$1,389.00	$2,382.62
Sentara Facility/Professional Facility Modifier Low / Median / High Price $976.46 / $1,300.44 / $6,585.00	Facility		$976.46	$1,300.44	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $976.46 / $1,300.44 / $6,585.00	Professional		$976.46	$1,300.44	$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 $800.68 / $1,285.04 / $2,168.86	Professional		$800.68	$1,285.04	$2,168.86