Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $5,888.44 / $10,964.78	Facility		$1,148.15	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,047.13 / $1,778.28	Professional		$870.96	$1,047.13	$1,778.28
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 $891.25 / $1,174.90 / $1,698.24	Professional		$891.25	$1,174.90	$1,698.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,584.89 / $14,454.40	Professional		$1,047.13	$1,584.89	$14,454.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,122.02 / $1,949.84	Professional		$794.33	$1,122.02	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $2,754.23	Professional		$870.96	$1,071.52	$2,754.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,380.38 / $2,187.76	Professional		$851.14	$1,380.38	$2,187.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,230.27 / $1,995.26	Facility		$933.25	$1,230.27	$1,995.26
Sentara Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,174.90 / $10,000.00	Facility		$794.33	$1,174.90	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,174.90 / $10,000.00	Professional		$794.33	$1,174.90	$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 $707.95 / $1,148.15 / $1,819.70	Professional		$707.95	$1,148.15	$1,819.70