Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $7,079.46 / $16,595.87	Facility		$1,096.48	$7,079.46	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,096.48 / $1,819.70	Professional		$912.01	$1,096.48	$1,819.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $11,220.18 / $12,302.69	Facility		$9,772.37	$11,220.18	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,230.27 / $1,737.80	Professional		$912.01	$1,230.27	$1,737.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,659.59 / $8,317.64	Professional		$1,096.48	$1,659.59	$8,317.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $1,949.84	Professional		$933.25	$1,258.93	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,047.13 / $2,570.40	Professional		$851.14	$1,047.13	$2,570.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,621.81 / $2,238.72	Professional		$1,318.26	$1,621.81	$2,238.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,380.38 / $2,089.30	Facility		$954.99	$1,380.38	$2,089.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,318.26 / $10,964.78	Facility		$912.01	$1,318.26	$10,964.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,318.26 / $10,964.78	Professional		$912.01	$1,318.26	$10,964.78
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $12,882.50 / $29,512.09	Facility		$7,762.47	$12,882.50	$29,512.09
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