Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $5,495.41 / $10,000.00	Facility		$1,023.29	$5,495.41	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,023.29 / $1,548.82	Professional		$831.76	$1,023.29	$1,548.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,182.57 / $14,791.08 / $15,135.61	Facility		$13,182.57	$14,791.08	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $1,621.81	Professional		$851.14	$1,148.15	$1,621.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,548.82 / $8,317.64	Professional		$1,023.29	$1,548.82	$8,317.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $1,819.70	Professional		$851.14	$1,148.15	$1,819.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $977.24 / $2,454.71	Professional		$794.33	$977.24	$2,454.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,348.96 / $2,089.30	Professional		$1,096.48	$1,348.96	$2,089.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,258.93 / $1,862.09	Facility		$891.25	$1,258.93	$1,862.09
Sentara Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,202.26 / $4,073.80	Facility		$794.33	$1,202.26	$4,073.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,202.26 / $4,073.80	Professional		$794.33	$1,202.26	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,818.38 / $15,135.61	Facility		$1,122.02	$2,818.38	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,122.02 / $1,862.09	Professional		$741.31	$1,122.02	$1,862.09