Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $5,495.41 / $10,000.00	Facility		$575.44	$5,495.41	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $549.54 / $1,174.90	Professional		$478.63	$549.54	$1,174.90
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 $512.86 / $758.58 / $1,318.26	Professional		$512.86	$758.58	$1,318.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $794.33 / $10,000.00	Professional		$549.54	$794.33	$10,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $645.65 / $1,096.48	Professional		$501.19	$645.65	$1,096.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $575.44 / $676.08	Professional		$457.09	$575.44	$676.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $812.83 / $1,202.26	Professional		$660.69	$812.83	$1,202.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $691.83 / $1,122.02	Facility		$489.78	$691.83	$1,122.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
Sentara Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $676.08 / $6,918.31	Facility		$467.74	$676.08	$6,918.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $676.08 / $6,918.31	Professional		$467.74	$676.08	$6,918.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $7,244.36 / $14,125.38	Facility		$3,801.89	$7,244.36	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $602.56 / $1,023.29	Professional		$389.05	$602.56	$1,023.29