Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $5,128.61 / $8,912.51	Facility		$363.08	$5,128.61	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $426.58	Professional		$363.08	$363.08	$426.58
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 $165.96 / $218.78 / $309.03	Professional		$165.96	$218.78	$309.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $3,890.45 / $5,623.41	Professional		$575.44	$3,890.45	$5,623.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Facility		$1,862.09	$1,862.09	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,698.24 / $1,698.24	Professional		$1,584.89	$1,698.24	$1,698.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $371.54 / $537.03	Facility		$331.13	$371.54	$537.03
Sentara Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $10,000.00 / $10,964.78	Facility		$5,623.41	$10,000.00	$10,964.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $10,000.00 / $10,964.78	Professional		$5,623.41	$10,000.00	$10,964.78
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 $416.87 / $416.87 / $575.44	Professional		$416.87	$416.87	$575.44