Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $5,495.41 / $10,000.00	Facility		$870.96	$5,495.41	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $870.96 / $1,737.80	Professional		$724.44	$870.96	$1,737.80
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 $776.25 / $1,148.15 / $1,949.84	Professional		$776.25	$1,148.15	$1,949.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $5,495.41	Professional		$933.25	$1,258.93	$5,495.41
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 $776.25 / $977.24 / $1,659.59	Professional		$776.25	$977.24	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $891.25 / $1,047.13	Professional		$691.83	$891.25	$1,047.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $1,862.09	Professional		$1,047.13	$1,318.26	$1,862.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,023.29 / $1,584.89	Facility		$741.31	$1,023.29	$1,584.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,023.29 / $9,549.93	Facility		$707.95	$1,023.29	$9,549.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,023.29 / $9,549.93	Professional		$707.95	$1,023.29	$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 $588.84 / $912.01 / $1,513.56	Professional		$588.84	$912.01	$1,513.56