Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,630.78 / $9,549.93	Facility		$1,230.27	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $1,737.80	Professional		$1,000.00	$1,230.27	$1,737.80
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 $933.25 / $1,258.93 / $1,737.80	Professional		$933.25	$1,258.93	$1,737.80
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 $1,071.52 / $1,412.54 / $1,949.84	Professional		$1,071.52	$1,412.54	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,047.13 / $1,288.25	Professional		$870.96	$1,047.13	$1,288.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,949.84 / $2,344.23	Professional		$1,548.82	$1,949.84	$2,344.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,584.89 / $2,290.87	Facility		$1,047.13	$1,584.89	$2,290.87
Sentara Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,445.44 / $7,413.10	Facility		$977.24	$1,445.44	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,445.44 / $7,413.10	Professional		$977.24	$1,445.44	$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 $891.25 / $1,479.11 / $2,290.87	Professional		$891.25	$1,479.11	$2,290.87