Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $6,165.95 / $15,135.61	Facility		$1,047.13	$6,165.95	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,023.29 / $1,905.46	Professional		$831.76	$1,023.29	$1,905.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $7,413.10 / $9,332.54	Facility		$6,606.93	$7,413.10	$9,332.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $1,659.59	Professional		$891.25	$1,174.90	$1,659.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,380.38 / $8,317.64	Professional		$954.99	$1,380.38	$8,317.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $1,949.84	Professional		$891.25	$1,174.90	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,000.00 / $2,511.89	Professional		$794.33	$1,000.00	$2,511.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,513.56 / $2,238.72	Professional		$1,174.90	$1,513.56	$2,238.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,288.25 / $1,905.46	Facility		$912.01	$1,288.25	$1,905.46
Sentara Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,258.93 / $10,000.00	Facility		$870.96	$1,258.93	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,258.93 / $10,000.00	Professional		$870.96	$1,258.93	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $11,481.54 / $23,988.33	Facility		$6,760.83	$11,481.54	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,174.90 / $1,905.46	Professional		$741.31	$1,174.90	$1,905.46