Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $5,011.87 / $15,135.61	Facility		$1,000.00	$5,011.87	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $954.99 / $1,380.38	Professional		$812.83	$954.99	$1,380.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $14,791.08 / $15,848.93	Facility		$11,748.98	$14,791.08	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,000.00 / $1,412.54	Professional		$758.58	$1,000.00	$1,412.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,000.00 / $1,348.96	Professional		$794.33	$1,000.00	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,819.70	Professional		$794.33	$1,047.13	$1,819.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $870.96 / $1,096.48	Professional		$741.31	$870.96	$1,096.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $1,862.09	Professional		$1,122.02	$1,412.54	$1,862.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,148.15 / $1,698.24	Facility		$851.14	$1,148.15	$1,698.24
Sentara Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,071.52 / $10,000.00	Facility		$741.31	$1,071.52	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,071.52 / $10,000.00	Professional		$741.31	$1,071.52	$10,000.00
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 $707.95 / $1,096.48 / $1,778.28	Professional		$707.95	$1,096.48	$1,778.28