Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,467.37 / $8,317.64	Facility		$1,000.00	$3,467.37	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,071.52 / $2,187.76	Professional		$891.25	$1,071.52	$2,187.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $7,413.10 / $9,332.54	Facility		$6,606.93	$7,413.10	$9,332.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,202.26 / $1,698.24	Professional		$891.25	$1,202.26	$1,698.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,548.82 / $10,000.00	Professional		$1,000.00	$1,548.82	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,202.26 / $1,905.46	Professional		$891.25	$1,202.26	$1,905.46
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 $1,230.27 / $1,548.82 / $2,187.76	Professional		$1,230.27	$1,548.82	$2,187.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,318.26 / $1,995.26	Facility		$912.01	$1,318.26	$1,995.26
Sentara Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,258.93 / $10,000.00	Facility		$870.96	$1,258.93	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,258.93 / $10,000.00	Professional		$870.96	$1,258.93	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $9,549.93 / $19,054.61	Facility		$5,623.41	$9,549.93	$19,054.61
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,174.90 / $1,949.84	Professional		$776.25	$1,174.90	$1,949.84