Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $5,888.44 / $10,964.78	Facility		$1,737.80	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,737.80 / $3,235.94	Professional		$1,513.56	$1,737.80	$3,235.94
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 $1,659.59 / $2,398.83 / $4,168.69	Professional		$1,659.59	$2,398.83	$4,168.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,570.40 / $10,000.00	Professional		$1,819.70	$2,570.40	$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 $1,584.89 / $2,089.30 / $3,548.13	Professional		$1,584.89	$2,089.30	$3,548.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,819.70 / $2,137.96	Professional		$1,445.44	$1,819.70	$2,137.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,818.38 / $3,890.45	Professional		$2,290.87	$2,818.38	$3,890.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,187.76 / $3,467.37	Facility		$1,584.89	$2,187.76	$3,467.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Professional		$2,344.23	$2,344.23	$2,344.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,089.30 / $9,549.93	Facility		$1,548.82	$2,089.30	$9,549.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,089.30 / $9,549.93	Professional		$1,548.82	$2,089.30	$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 $1,288.25 / $1,949.84 / $3,388.44	Professional		$1,288.25	$1,949.84	$3,388.44