Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $5,128.61 / $8,912.51	Facility		$1,023.29	$5,128.61	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $870.96 / $1,348.96	Professional		$758.58	$870.96	$1,348.96
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 $660.69 / $891.25 / $1,258.93	Professional		$660.69	$891.25	$1,258.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $5,623.41 / $8,317.64	Professional		$1,174.90	$5,623.41	$8,317.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,862.09	Facility		$1,548.82	$1,548.82	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,819.70	Professional		$794.33	$1,071.52	$1,819.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,000.00 / $1,202.26	Professional		$831.76	$1,000.00	$1,202.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,023.29 / $1,445.44	Facility		$794.33	$1,023.29	$1,445.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,174.90 / $10,000.00	Facility		$758.58	$1,174.90	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,174.90 / $10,000.00	Professional		$758.58	$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 $676.08 / $977.24 / $1,698.24	Professional		$676.08	$977.24	$1,698.24