Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $4,897.79 / $8,912.51	Facility		$1,047.13	$4,897.79	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,047.13 / $1,737.80	Professional		$870.96	$1,047.13	$1,737.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $16,595.87 / $22,908.68	Facility		$8,709.64	$16,595.87	$22,908.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $1,659.59	Professional		$870.96	$1,174.90	$1,659.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,584.89 / $5,495.41	Professional		$1,047.13	$1,584.89	$5,495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,202.26 / $1,862.09	Professional		$870.96	$1,202.26	$1,862.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,000.00 / $2,511.89	Professional		$812.83	$1,000.00	$2,511.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $2,137.96	Professional		$1,148.15	$1,445.44	$2,137.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,288.25 / $1,949.84	Facility		$912.01	$1,288.25	$1,949.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,230.27 / $8,709.64	Facility		$851.14	$1,230.27	$8,709.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,230.27 / $8,709.64	Professional		$851.14	$1,230.27	$8,709.64
United Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $7,079.46 / $14,125.38	Facility		$3,715.35	$7,079.46	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,174.90 / $1,949.84	Professional		$758.58	$1,174.90	$1,949.84