Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,630.78 / $9,549.93	Facility		$1,258.93	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $1,737.80	Professional		$1,000.00	$1,230.27	$1,737.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $11,481.54 / $16,982.44	Facility		$7,585.78	$11,481.54	$16,982.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $1,949.84	Professional		$1,047.13	$1,380.38	$1,949.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,380.38 / $1,778.28	Professional		$1,122.02	$1,380.38	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $2,238.72	Professional		$1,047.13	$1,412.54	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,174.90 / $2,951.21	Professional		$954.99	$1,174.90	$2,951.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $2,511.89	Professional		$1,412.54	$1,778.28	$2,511.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $2,290.87	Facility		$1,071.52	$1,548.82	$2,290.87
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,479.11 / $5,248.07	Facility		$1,000.00	$1,479.11	$5,248.07
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,479.11 / $5,248.07	Professional		$1,000.00	$1,479.11	$5,248.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $4,365.16 / $20,417.38	Facility		$1,698.24	$4,365.16	$20,417.38
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,380.38 / $2,290.87	Professional		$912.01	$1,380.38	$2,290.87