Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $5,888.44 / $10,964.78	Facility		$2,290.87	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,290.87 / $4,897.79	Professional		$1,995.26	$2,290.87	$4,897.79
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 $2,137.96 / $3,162.28 / $5,370.32	Professional		$2,137.96	$3,162.28	$5,370.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,311.31 / $14,454.40	Professional		$2,398.83	$3,311.31	$14,454.40
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 $2,089.30 / $2,691.53 / $4,570.88	Professional		$2,089.30	$2,691.53	$4,570.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,344.23 / $2,754.23	Professional		$1,862.09	$2,344.23	$2,754.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,630.78 / $5,128.61	Professional		$2,884.03	$3,630.78	$5,128.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,951.21 / $4,570.88	Facility		$2,041.74	$2,951.21	$4,570.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,754.23 / $10,000.00	Facility		$1,995.26	$2,754.23	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,754.23 / $10,000.00	Professional		$1,995.26	$2,754.23	$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 $1,659.59 / $2,511.89 / $4,466.84	Professional		$1,659.59	$2,511.89	$4,466.84