Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,630.78 / $9,549.93	Facility		$1,096.48	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,071.52 / $1,513.56	Professional		$891.25	$1,071.52	$1,513.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $7,413.10 / $9,332.54	Facility		$6,606.93	$7,413.10	$9,332.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $1,548.82	Professional		$812.83	$1,096.48	$1,548.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $954.99 / $1,513.56	Professional		$758.58	$954.99	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,202.26 / $1,698.24	Professional		$870.96	$1,202.26	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $933.25 / $1,148.15	Professional		$776.25	$933.25	$1,148.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,737.80 / $2,041.74	Professional		$1,380.38	$1,737.80	$2,041.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,318.26 / $1,995.26	Facility		$891.25	$1,318.26	$1,995.26
Sentara Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,288.25 / $11,481.54	Facility		$831.76	$1,288.25	$11,481.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,288.25 / $11,481.54	Professional		$831.76	$1,288.25	$11,481.54
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $12,882.50 / $29,512.09	Facility		$7,762.47	$12,882.50	$29,512.09
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,348.96 / $1,995.26	Professional		$776.25	$1,348.96	$1,995.26