Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $4,786.30 / $12,882.50	Facility		$1,202.26	$4,786.30	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,202.26 / $1,778.28	Professional		$977.24	$1,202.26	$1,778.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $6,760.83 / $7,413.10	Facility		$5,888.44	$6,760.83	$7,413.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,202.26 / $1,698.24	Professional		$912.01	$1,202.26	$1,698.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $954.99 / $1,584.89	Professional		$758.58	$954.99	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $1,862.09	Professional		$1,047.13	$1,318.26	$1,862.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,023.29 / $1,258.93	Professional		$851.14	$1,023.29	$1,258.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,862.09 / $2,238.72	Professional		$1,445.44	$1,862.09	$2,238.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,513.56 / $2,187.76	Facility		$977.24	$1,513.56	$2,187.76
Sentara Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,412.54 / $10,000.00	Facility		$912.01	$1,412.54	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,412.54 / $10,000.00	Professional		$912.01	$1,412.54	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $9,549.93 / $19,054.61	Facility		$5,623.41	$9,549.93	$19,054.61
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,412.54 / $2,187.76	Professional		$851.14	$1,412.54	$2,187.76