Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $5,888.44 / $10,964.78	Facility		$1,584.89	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,380.38 / $2,951.21	Professional		$1,202.26	$1,380.38	$2,951.21
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 $1,318.26 / $1,905.46 / $3,311.31	Professional		$1,318.26	$1,905.46	$3,311.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,041.74 / $10,000.00	Professional		$1,412.54	$2,041.74	$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 $1,258.93 / $1,659.59 / $2,818.38	Professional		$1,258.93	$1,659.59	$2,818.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,479.11 / $1,737.80	Professional		$1,174.90	$1,479.11	$1,737.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $3,162.28	Professional		$1,659.59	$2,089.30	$3,162.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,778.28 / $2,818.38	Facility		$1,258.93	$1,778.28	$2,818.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,698.24 / $9,549.93	Facility		$1,230.27	$1,698.24	$9,549.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,698.24 / $9,549.93	Professional		$1,230.27	$1,698.24	$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 $1,000.00 / $1,548.82 / $2,754.23	Professional		$1,000.00	$1,548.82	$2,754.23