Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $5,495.41 / $10,000.00	Facility		$1,148.15	$5,495.41	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,071.52 / $1,905.46	Professional		$912.01	$1,071.52	$1,905.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $12,302.69 / $17,782.79	Facility		$9,772.37	$12,302.69	$17,782.79
Anthem BCBS 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
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,621.81 / $6,918.31	Professional		$1,071.52	$1,621.81	$6,918.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $2,137.96	Professional		$912.01	$1,258.93	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,174.90 / $3,019.95	Professional		$933.25	$1,174.90	$3,019.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,548.82 / $2,398.83	Professional		$1,258.93	$1,548.82	$2,398.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $2,041.74	Facility		$1,000.00	$1,412.54	$2,041.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,318.26 / $8,709.64	Facility		$891.25	$1,318.26	$8,709.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,318.26 / $8,709.64	Professional		$891.25	$1,318.26	$8,709.64
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,413.10 / $14,125.38	Facility		$3,890.45	$7,413.10	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,230.27 / $2,041.74	Professional		$794.33	$1,230.27	$2,041.74