Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $5,888.44 / $10,964.78	Facility		$1,412.54	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $1,412.54	Professional		$1,023.29	$1,380.38	$1,412.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $13,182.57 / $15,488.17	Facility		$9,772.37	$13,182.57	$15,488.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $3,090.30	Professional		$1,258.93	$1,737.80	$3,090.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $12,589.25 / $18,197.01 / $22,387.21	Professional		$12,589.25	$18,197.01	$22,387.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Professional		$6,456.54	$6,456.54	$6,456.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,513.56 / $1,862.09	Professional		$1,258.93	$1,513.56	$1,862.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $2,290.87	Facility		$1,023.29	$1,380.38	$2,290.87
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,778.28 / $10,000.00	Facility		$1,288.25	$1,778.28	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,778.28 / $10,000.00	Professional		$1,288.25	$1,778.28	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $12,882.50 / $29,512.09	Facility		$7,413.10	$12,882.50	$29,512.09
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,621.81 / $2,691.53	Professional		$1,023.29	$1,621.81	$2,691.53