Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,630.78 / $9,549.93	Facility		$1,258.93	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $1,737.80	Professional		$1,023.29	$1,202.26	$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 / $1,778.28	Professional		$933.25	$1,258.93	$1,778.28
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 $1,023.29 / $1,348.96 / $1,949.84	Professional		$1,023.29	$1,348.96	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,071.52 / $1,318.26	Professional		$891.25	$1,071.52	$1,318.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,995.26 / $2,344.23	Professional		$1,584.89	$1,995.26	$2,344.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,548.82 / $2,290.87	Facility		$1,000.00	$1,548.82	$2,290.87
Sentara Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,412.54 / $7,413.10	Facility		$933.25	$1,412.54	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,412.54 / $7,413.10	Professional		$933.25	$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 $891.25 / $1,513.56 / $2,290.87	Professional		$891.25	$1,513.56	$2,290.87