Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $5,011.87 / $10,000.00	Facility		$912.01	$5,011.87	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $831.76 / $1,479.11	Professional		$691.83	$831.76	$1,479.11
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 $794.33 / $1,071.52 / $1,513.56	Professional		$794.33	$1,071.52	$1,513.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,445.44 / $14,454.40	Professional		$933.25	$1,445.44	$14,454.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,047.13 / $1,737.80	Professional		$724.44	$1,047.13	$1,737.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $870.96 / $2,187.76	Professional		$707.95	$870.96	$2,187.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,380.38 / $1,949.84	Professional		$1,122.02	$1,380.38	$1,949.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,122.02 / $1,737.80	Facility		$741.31	$1,122.02	$1,737.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,096.48 / $10,000.00	Facility		$776.25	$1,096.48	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,096.48 / $10,000.00	Professional		$776.25	$1,096.48	$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 $676.08 / $1,047.13 / $1,698.24	Professional		$676.08	$1,047.13	$1,698.24