Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,630.78 / $9,549.93	Facility		$1,000.00	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $977.24 / $1,737.80	Professional		$831.76	$977.24	$1,737.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,981.07 / $4,466.84	Facility		$3,090.30	$3,981.07	$4,466.84
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 $812.83 / $1,148.15 / $1,905.46	Professional		$812.83	$1,148.15	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $870.96 / $1,071.52	Professional		$724.44	$870.96	$1,071.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Professional		$1,905.46	$1,905.46	$1,905.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,148.15 / $1,862.09	Facility		$812.83	$1,148.15	$1,862.09
Sentara Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,202.26 / $7,413.10	Facility		$776.25	$1,202.26	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,202.26 / $7,413.10	Professional		$776.25	$1,202.26	$7,413.10
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 / $1,258.93 / $1,862.09	Professional		$758.58	$1,258.93	$1,862.09