Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $5,495.41 / $12,882.50	Facility		$1,584.89	$5,495.41	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,621.81 / $3,630.78	Professional		$1,412.54	$1,621.81	$3,630.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $7,413.10 / $9,332.54	Facility		$6,606.93	$7,413.10	$9,332.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,187.76 / $3,801.89	Professional		$1,513.56	$2,187.76	$3,801.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,344.23 / $10,000.00	Professional		$1,737.80	$2,344.23	$10,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,862.09 / $3,235.94	Professional		$1,445.44	$1,862.09	$3,235.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,698.24 / $1,995.26	Professional		$1,348.96	$1,698.24	$1,995.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,344.23 / $3,548.13	Professional		$1,862.09	$2,344.23	$3,548.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,995.26 / $3,162.28	Facility		$1,412.54	$1,995.26	$3,162.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Professional		$1,778.28	$1,778.28	$1,778.28
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,905.46 / $9,549.93	Facility		$1,318.26	$1,905.46	$9,549.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,905.46 / $9,549.93	Professional		$1,318.26	$1,905.46	$9,549.93
United Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,220.18 / $23,988.33	Facility		$6,456.54	$11,220.18	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,778.28 / $3,090.30	Professional		$1,148.15	$1,778.28	$3,090.30