Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,258.93 / $1,995.26	Facility		$1,122.02	$1,258.93	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $1,949.84	Professional		$933.25	$1,258.93	$1,949.84
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 $1,174.90 / $1,513.56 / $2,137.96	Professional		$1,174.90	$1,513.56	$2,137.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,737.80 / $2,691.53	Professional		$776.25	$1,737.80	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $2,344.23	Professional		$1,000.00	$1,348.96	$2,344.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,258.93 / $3,162.28	Professional		$1,000.00	$1,258.93	$3,162.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,819.70 / $2,691.53	Professional		$1,412.54	$1,819.70	$2,691.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,513.56 / $2,238.72	Facility		$1,071.52	$1,513.56	$2,238.72
Sentara Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,479.11 / $5,495.41	Facility		$954.99	$1,479.11	$5,495.41
Sentara Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,445.44 / $5,495.41	Professional		$954.99	$1,445.44	$5,495.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,630.78 / $7,079.46	Facility		$1,584.89	$3,630.78	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,288.25 / $2,041.74	Professional		$870.96	$1,288.25	$2,041.74