Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $6,165.95 / $15,488.17	Facility		$1,096.48	$6,165.95	$15,488.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,000.00 / $1,778.28	Professional		$831.76	$1,000.00	$1,778.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $16,218.10 / $21,877.62	Facility		$8,709.64	$16,218.10	$21,877.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,288.25 / $1,819.70	Professional		$954.99	$1,288.25	$1,819.70
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 $891.25 / $1,202.26 / $2,089.30	Professional		$891.25	$1,202.26	$2,089.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,122.02 / $2,884.03	Professional		$912.01	$1,122.02	$2,884.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,548.82 / $2,290.87	Professional		$1,230.27	$1,548.82	$2,290.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,318.26 / $2,041.74	Facility		$912.01	$1,318.26	$2,041.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,288.25 / $10,964.78	Facility		$891.25	$1,288.25	$10,964.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,288.25 / $10,964.78	Professional		$891.25	$1,288.25	$10,964.78
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $12,882.50 / $29,512.09	Facility		$7,413.10	$12,882.50	$29,512.09
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,202.26 / $1,949.84	Professional		$758.58	$1,202.26	$1,949.84