Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,083.83 / $4,771.00 / $9,539.00	Facility		$1,083.83	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $906.45 / $1,083.83 / $2,144.56	Professional		$906.45	$1,083.83	$2,144.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,955.00 / $11,210.00 / $17,424.00	Facility		$8,955.00	$11,210.00	$17,424.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.51 / $1,108.31 / $1,544.77	Professional		$870.51	$1,108.31	$1,544.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,164.79 / $1,268.80 / $2,474.16	Professional		$1,164.79	$1,268.80	$2,474.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $951.58 / $1,304.89 / $2,198.73	Professional		$951.58	$1,304.89	$2,198.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $895.78 / $1,074.94 / $1,325.75	Professional		$895.78	$1,074.94	$1,325.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,067.33 / $1,343.86 / $1,969.24	Facility		$1,067.33	$1,343.86	$1,969.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,218.00 / $1,373.84 / $2,201.64	Professional		$1,218.00	$1,373.84	$2,201.64
Sentara Facility/Professional Facility Modifier Low / Median / High Price $966.46 / $1,313.06 / $20,487.00	Facility		$966.46	$1,313.06	$20,487.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $966.46 / $1,313.06 / $20,487.00	Professional		$966.46	$1,313.06	$20,487.00
United Facility/Professional Facility Modifier Low / Median / High Price $13,091.00 / $26,218.00 / $64,092.00	Facility		$13,091.00	$26,218.00	$64,092.00
United Facility/Professional Professional Modifier Low / Median / High Price $853.10 / $1,350.34 / $2,130.52	Professional		$853.10	$1,350.34	$2,130.52