Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,630.78 / $9,549.93	Facility		$1,258.93	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,202.26 / $1,778.28	Professional		$1,000.00	$1,202.26	$1,778.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $12,302.69 / $17,782.79	Facility		$9,772.37	$12,302.69	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,258.93 / $1,778.28	Professional		$954.99	$1,258.93	$1,778.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,348.96 / $1,819.70	Professional		$1,071.52	$1,348.96	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $1,949.84	Professional		$1,023.29	$1,380.38	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,122.02 / $1,380.38	Professional		$933.25	$1,122.02	$1,380.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,905.46 / $2,344.23	Professional		$1,513.56	$1,905.46	$2,344.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,513.56 / $2,344.23	Facility		$1,071.52	$1,513.56	$2,344.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,412.54 / $19,952.62	Facility		$954.99	$1,412.54	$19,952.62
Sentara Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,412.54 / $19,952.62	Professional		$954.99	$1,412.54	$19,952.62
United Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $17,782.79 / $40,738.03	Facility		$10,964.78	$17,782.79	$40,738.03
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,445.44 / $2,238.72	Professional		$891.25	$1,445.44	$2,238.72