Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $5,495.41 / $10,000.00	Facility		$1,202.26	$5,495.41	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,202.26 / $1,995.26	Professional		$977.24	$1,202.26	$1,995.26
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 $1,000.00 / $1,348.96 / $1,905.46	Professional		$1,000.00	$1,348.96	$1,905.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,148.15 / $1,737.80	Professional		$776.25	$1,148.15	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $2,137.96	Professional		$1,023.29	$1,348.96	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,148.15 / $2,884.03	Professional		$933.25	$1,148.15	$2,884.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $2,454.71	Professional		$1,412.54	$1,778.28	$2,454.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $2,238.72	Facility		$1,047.13	$1,479.11	$2,238.72
Sentara Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,412.54 / $8,709.64	Facility		$977.24	$1,412.54	$8,709.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,412.54 / $8,709.64	Professional		$977.24	$1,412.54	$8,709.64
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,244.36 / $14,125.38	Facility		$3,890.45	$7,244.36	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,318.26 / $2,187.76	Professional		$870.96	$1,318.26	$2,187.76