Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,630.78 / $9,549.93	Facility		$1,122.02	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $1,659.59	Professional		$870.96	$1,071.52	$1,659.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $11,220.18 / $12,302.69	Facility		$9,772.37	$11,220.18	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,202.26 / $1,698.24	Professional		$891.25	$1,202.26	$1,698.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,202.26 / $1,548.82	Professional		$954.99	$1,202.26	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,202.26 / $2,137.96	Professional		$891.25	$1,202.26	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $2,754.23	Professional		$870.96	$1,096.48	$2,754.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $2,187.76	Professional		$1,202.26	$1,513.56	$2,187.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $1,949.84	Facility		$1,000.00	$1,318.26	$1,949.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,230.27 / $5,248.07	Facility		$870.96	$1,230.27	$5,248.07
Sentara Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,230.27 / $5,248.07	Professional		$870.96	$1,230.27	$5,248.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,467.37 / $7,079.46	Facility		$1,698.24	$3,467.37	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,148.15 / $1,905.46	Professional		$758.58	$1,148.15	$1,905.46