Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $5,495.41 / $10,000.00	Facility		$1,230.27	$5,495.41	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,122.02 / $2,187.76	Professional		$954.99	$1,122.02	$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 $1,071.52 / $1,513.56 / $2,089.30	Professional		$1,071.52	$1,513.56	$2,089.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $3,890.45 / $5,623.41	Professional		$1,230.27	$3,890.45	$5,623.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $2,290.87	Facility		$1,949.84	$1,949.84	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $2,290.87	Professional		$1,000.00	$1,318.26	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $1,445.44	Professional		$1,000.00	$1,230.27	$1,445.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,737.80	Professional		$1,412.54	$1,412.54	$1,737.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $1,995.26	Facility		$1,000.00	$1,288.25	$1,995.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Professional		$2,290.87	$2,290.87	$2,290.87
Sentara Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,479.11 / $10,000.00	Facility		$954.99	$1,479.11	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,479.11 / $10,000.00	Professional		$954.99	$1,479.11	$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 $831.76 / $1,202.26 / $2,137.96	Professional		$831.76	$1,202.26	$2,137.96