Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,991.00 / $8,920.00	Facility		$1,000.00	$3,991.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.91 / $1,000.00 / $3,615.44	Professional		$88.91	$1,000.00	$3,615.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.97 / $110.04 / $152.80	Professional		$84.97	$110.04	$152.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $102.43 / $107.96 / $124.15	Professional		$102.43	$107.96	$124.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.91 / $160.91 / $160.91	Facility		$160.91	$160.91	$160.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $438.09 / $438.09 / $13,547.04	Professional		$438.09	$438.09	$13,547.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,945.96 / $6,866.29 / $8,000.02	Professional		$5,945.96	$6,866.29	$8,000.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $89.66 / $1,000.00 / $5,405.42	Facility		$89.66	$1,000.00	$5,405.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $220.85 / $3,105.00 / $4,717.29	Professional		$220.85	$3,105.00	$4,717.29
Sentara Facility/Professional Facility Modifier Low / Median / High Price $97.04 / $145.00 / $9,929.00	Facility		$97.04	$145.00	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $982.00 / $2,621.07 / $9,929.00	Professional		$982.00	$2,621.07	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,636.42 / $2,232.61 / $3,667.49	Professional		$1,636.42	$2,232.61	$3,667.49