Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,630.78 / $9,549.93	Facility		$1,047.13	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,023.29 / $1,548.82	Professional		$831.76	$1,023.29	$1,548.82
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 $851.14 / $1,148.15 / $1,621.81	Professional		$851.14	$1,148.15	$1,621.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,148.15 / $1,479.11	Professional		$912.01	$1,148.15	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $2,041.74	Professional		$851.14	$1,148.15	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,047.13 / $2,630.27	Professional		$831.76	$1,047.13	$2,630.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,445.44 / $2,089.30	Professional		$1,174.90	$1,445.44	$2,089.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,258.93 / $1,949.84	Facility		$954.99	$1,258.93	$1,949.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,174.90 / $5,248.07	Facility		$831.76	$1,174.90	$5,248.07
Sentara Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,174.90 / $5,248.07	Professional		$831.76	$1,174.90	$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 $724.44 / $1,122.02 / $1,862.09	Professional		$724.44	$1,122.02	$1,862.09