Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $6,760.83 / $15,488.17	Facility		$1,023.29	$6,760.83	$15,488.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $912.01 / $1,862.09	Professional		$776.25	$912.01	$1,862.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,981.07 / $4,466.84	Facility		$3,090.30	$3,981.07	$4,466.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,202.26 / $2,089.30	Professional		$831.76	$1,202.26	$2,089.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,202.26 / $16,595.87	Professional		$831.76	$1,202.26	$16,595.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,071.52 / $1,778.28	Professional		$812.83	$1,071.52	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $954.99 / $1,122.02	Professional		$758.58	$954.99	$1,122.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,445.44 / $1,995.26	Professional		$1,174.90	$1,445.44	$1,995.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,148.15 / $1,819.70	Facility		$794.33	$1,148.15	$1,819.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
Sentara Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,122.02 / $6,918.31	Facility		$776.25	$1,122.02	$6,918.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,122.02 / $6,918.31	Professional		$776.25	$1,122.02	$6,918.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $7,079.46 / $14,125.38	Facility		$3,715.35	$7,079.46	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,000.00 / $1,737.80	Professional		$645.65	$1,000.00	$1,737.80