Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $5,495.41 / $10,000.00	Facility		$1,621.81	$5,495.41	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,659.59 / $3,235.94	Professional		$1,445.44	$1,659.59	$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 $1,548.82 / $2,238.72 / $3,890.45	Professional		$1,548.82	$2,238.72	$3,890.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,398.83 / $10,000.00	Professional		$1,621.81	$2,398.83	$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 $1,513.56 / $2,041.74 / $3,311.31	Professional		$1,513.56	$2,041.74	$3,311.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,737.80 / $2,041.74	Professional		$1,380.38	$1,737.80	$2,041.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,691.53 / $3,715.35	Professional		$2,137.96	$2,691.53	$3,715.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,137.96 / $3,235.94	Facility		$1,479.11	$2,137.96	$3,235.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,041.74 / $9,549.93	Facility		$1,445.44	$2,041.74	$9,549.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,041.74 / $9,549.93	Professional		$1,445.44	$2,041.74	$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 $1,202.26 / $1,862.09 / $3,235.94	Professional		$1,202.26	$1,862.09	$3,235.94