Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,630.78 / $9,549.93	Facility		$1,202.26	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,174.90 / $1,698.24	Professional		$977.24	$1,174.90	$1,698.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $10,232.93 / $14,125.38	Facility		$6,760.83	$10,232.93	$14,125.38
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 $954.99 / $1,202.26 / $1,621.81	Professional		$954.99	$1,202.26	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,318.26 / $1,862.09	Professional		$977.24	$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 $1,513.56 / $1,862.09 / $2,238.72	Professional		$1,513.56	$1,862.09	$2,238.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,548.82 / $2,238.72	Facility		$977.24	$1,548.82	$2,238.72
Sentara Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,412.54 / $7,413.10	Facility		$912.01	$1,412.54	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,412.54 / $7,413.10	Professional		$912.01	$1,412.54	$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 $870.96 / $1,445.44 / $2,187.76	Professional		$870.96	$1,445.44	$2,187.76