Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $5,011.87 / $10,964.78	Facility		$1,737.80	$5,011.87	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,238.72 / $4,073.80	Professional		$1,698.24	$2,238.72	$4,073.80
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 $2,089.30 / $3,090.30 / $5,248.07	Professional		$2,089.30	$3,090.30	$5,248.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,090.30 / $10,000.00	Professional		$2,089.30	$3,090.30	$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 $1,862.09 / $2,398.83 / $4,466.84	Professional		$1,862.09	$2,398.83	$4,466.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,511.89 / $3,019.95	Professional		$1,949.84	$2,511.89	$3,019.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,951.21 / $4,897.79	Professional		$2,344.23	$2,951.21	$4,897.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,570.40 / $3,981.07	Facility		$1,949.84	$2,570.40	$3,981.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,454.71 / $10,000.00	Facility		$1,659.59	$2,454.71	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,454.71 / $10,000.00	Professional		$1,659.59	$2,454.71	$10,000.00
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 $1,445.44 / $2,290.87 / $4,073.80	Professional		$1,445.44	$2,290.87	$4,073.80