Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,162.69 / $6,470.00 / $14,867.45	Facility		$2,162.69	$6,470.00	$14,867.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,632.58 / $2,162.69 / $2,248.33	Professional		$1,632.58	$2,162.69	$2,248.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,524.00 / $22,312.00 / $37,718.00	Facility		$12,524.00	$22,312.00	$37,718.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,188.76 / $1,553.94 / $2,131.21	Professional		$1,188.76	$1,553.94	$2,131.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $5,291.00 / $15,406.00 / $17,992.00	Professional		$5,291.00	$15,406.00	$17,992.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,146.30 / $2,146.30 / $2,146.30	Facility		$2,146.30	$2,146.30	$2,146.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,478.37 / $8,478.37 / $8,478.37	Professional		$8,478.37	$8,478.37	$8,478.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,686.24 / $1,983.81 / $2,523.92	Professional		$1,686.24	$1,983.81	$2,523.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,410.94 / $2,358.96 / $3,379.18	Facility		$1,410.94	$2,358.96	$3,379.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,805.00 / $4,438.99 / $4,438.99	Professional		$1,805.00	$4,438.99	$4,438.99
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,819.31 / $2,898.98 / $47,778.00	Facility		$1,819.31	$2,898.98	$47,778.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,819.31 / $2,898.98 / $47,778.00	Professional		$1,819.31	$2,898.98	$47,778.00
United Facility/Professional Facility Modifier Low / Median / High Price $27,644.00 / $53,261.00 / $115,563.00	Facility		$27,644.00	$53,261.00	$115,563.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,297.79 / $1,730.39 / $2,927.62	Professional		$1,297.79	$1,730.39	$2,927.62