Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $5,888.44 / $15,135.61	Facility		$1,380.38	$5,888.44	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $831.76 / $1,659.59	Professional		$660.69	$831.76	$1,659.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $11,220.18 / $12,302.69	Facility		$9,772.37	$11,220.18	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,445.44	Professional		$758.58	$1,023.29	$1,445.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,318.26 / $5,623.41	Professional		$851.14	$1,318.26	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,023.29 / $1,659.59	Professional		$724.44	$1,023.29	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $831.76 / $2,089.30	Professional		$676.08	$831.76	$2,089.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,412.54 / $1,862.09	Professional		$1,148.15	$1,412.54	$1,862.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,096.48 / $1,621.81	Facility		$707.95	$1,096.48	$1,621.81
Sentara Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,071.52 / $10,964.78	Facility		$758.58	$1,071.52	$10,964.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,071.52 / $10,964.78	Professional		$758.58	$1,071.52	$10,964.78
United Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $12,882.50 / $29,512.09	Facility		$8,317.64	$12,882.50	$29,512.09
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,023.29 / $1,659.59	Professional		$645.65	$1,023.29	$1,659.59