Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $5,888.44 / $10,964.78	Facility		$1,148.15	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,148.15 / $2,570.40	Professional		$933.25	$1,148.15	$2,570.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $6,760.83 / $7,413.10	Facility		$5,888.44	$6,760.83	$7,413.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,288.25 / $1,819.70	Professional		$954.99	$1,288.25	$1,819.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,737.80 / $4,466.84	Professional		$1,148.15	$1,737.80	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,288.25 / $2,041.74	Professional		$977.24	$1,288.25	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $2,691.53	Professional		$870.96	$1,096.48	$2,691.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,659.59 / $2,344.23	Professional		$1,318.26	$1,659.59	$2,344.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $2,187.76	Facility		$1,023.29	$1,445.44	$2,187.76
Sentara Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,380.38 / $10,000.00	Facility		$954.99	$1,380.38	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,380.38 / $10,000.00	Professional		$954.99	$1,380.38	$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 $831.76 / $1,258.93 / $2,089.30	Professional		$831.76	$1,258.93	$2,089.30