Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $5,011.87 / $8,317.64	Facility		$1,230.27	$5,011.87	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,174.90 / $3,090.30	Professional		$831.76	$1,174.90	$3,090.30
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 $954.99 / $1,412.54 / $2,041.74	Professional		$954.99	$1,412.54	$2,041.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $3,548.13 / $5,495.41	Professional		$977.24	$3,548.13	$5,495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $1,949.84	Professional		$870.96	$1,174.90	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,023.29 / $1,318.26	Professional		$870.96	$1,023.29	$1,318.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,318.26 / $1,348.96	Professional		$1,202.26	$1,318.26	$1,348.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,230.27 / $1,905.46	Facility		$891.25	$1,230.27	$1,905.46
Sentara Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,258.93 / $10,000.00	Facility		$812.83	$1,258.93	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,258.93 / $10,000.00	Professional		$812.83	$1,258.93	$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 $707.95 / $977.24 / $1,737.80	Professional		$707.95	$977.24	$1,737.80