Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,630.78 / $9,549.93	Facility		$1,047.13	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,122.02 / $1,819.70	Professional		$933.25	$1,122.02	$1,819.70
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 $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 $1,000.00 / $1,258.93 / $1,584.89	Professional		$1,000.00	$1,258.93	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $1,995.26	Professional		$933.25	$1,258.93	$1,995.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,047.13 / $2,630.27	Professional		$851.14	$1,047.13	$2,630.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,621.81 / $2,290.87	Professional		$1,288.25	$1,621.81	$2,290.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,412.54 / $2,089.30	Facility		$977.24	$1,412.54	$2,089.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,348.96 / $5,248.07	Facility		$912.01	$1,348.96	$5,248.07
Sentara Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,348.96 / $5,248.07	Professional		$912.01	$1,348.96	$5,248.07
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 $812.83 / $1,230.27 / $2,041.74	Professional		$812.83	$1,230.27	$2,041.74