Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $3,467.37 / $7,244.36	Facility		$912.01	$3,467.37	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $831.76 / $1,412.54	Professional		$645.65	$831.76	$1,412.54
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 $758.58 / $1,071.52 / $1,513.56	Professional		$758.58	$1,071.52	$1,513.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $4,466.84 / $6,918.31	Professional		$758.58	$4,466.84	$6,918.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,659.59	Facility		$1,288.25	$1,288.25	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $954.99 / $1,659.59	Professional		$724.44	$954.99	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,071.52 / $1,258.93	Professional		$812.83	$1,071.52	$1,258.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,348.96	Professional		$1,122.02	$1,122.02	$1,348.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $933.25 / $1,445.44	Facility		$691.83	$933.25	$1,445.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
Sentara Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,023.29 / $10,000.00	Facility		$691.83	$1,023.29	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,174.90 / $10,000.00	Professional		$776.25	$1,174.90	$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 $616.60 / $891.25 / $1,548.82	Professional		$616.60	$891.25	$1,548.82