Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $5,888.44 / $11,481.54	Facility		$1,288.25	$5,888.44	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,202.26 / $4,168.69	Professional		$758.58	$1,202.26	$4,168.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,981.07 / $4,466.84	Facility		$3,090.30	$3,981.07	$4,466.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,348.96 / $1,905.46	Professional		$912.01	$1,348.96	$1,905.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $2,884.03 / $4,466.84	Professional		$912.01	$2,884.03	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,122.02 / $1,862.09	Professional		$776.25	$1,122.02	$1,862.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $977.24 / $1,258.93	Professional		$831.76	$977.24	$1,258.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,258.93 / $1,348.96	Professional		$1,202.26	$1,258.93	$1,348.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,148.15 / $1,778.28	Facility		$831.76	$1,148.15	$1,778.28
Sentara Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,174.90 / $8,709.64	Facility		$776.25	$1,174.90	$8,709.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,174.90 / $8,709.64	Professional		$776.25	$1,174.90	$8,709.64
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,244.36 / $14,125.38	Facility		$3,890.45	$7,244.36	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $912.01 / $1,621.81	Professional		$645.65	$912.01	$1,621.81