Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $5,495.41 / $10,000.00	Facility		$1,122.02	$5,495.41	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,023.29 / $2,187.76	Professional		$851.14	$1,023.29	$2,187.76
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 $1,000.00 / $1,380.38 / $1,949.84	Professional		$1,000.00	$1,380.38	$1,949.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $6,918.31 / $10,000.00	Professional		$1,071.52	$6,918.31	$10,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $2,290.87	Facility		$1,778.28	$1,778.28	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,202.26 / $2,089.30	Professional		$933.25	$1,202.26	$2,089.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,122.02 / $1,348.96	Professional		$933.25	$1,122.02	$1,348.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,412.54	Professional		$1,202.26	$1,202.26	$1,412.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,174.90 / $1,905.46	Facility		$891.25	$1,174.90	$1,905.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Professional		$4,466.84	$4,466.84	$4,466.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,318.26 / $10,000.00	Facility		$851.14	$1,318.26	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,318.26 / $10,000.00	Professional		$851.14	$1,318.26	$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 $724.44 / $1,047.13 / $1,862.09	Professional		$724.44	$1,047.13	$1,862.09