Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $4,897.79 / $8,317.64	Facility		$1,000.00	$4,897.79	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $912.01 / $1,778.28	Professional		$758.58	$912.01	$1,778.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,981.07 / $4,466.84	Facility		$3,090.30	$3,981.07	$4,466.84
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 $758.58 / $1,096.48 / $6,918.31	Professional		$758.58	$1,096.48	$6,918.31
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 / $1,071.52 / $1,698.24	Professional		$776.25	$1,071.52	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $870.96 / $1,023.29	Professional		$691.83	$870.96	$1,023.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $1,819.70	Professional		$1,202.26	$1,513.56	$1,819.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,148.15 / $1,737.80	Facility		$758.58	$1,148.15	$1,737.80
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 $776.25 / $1,122.02 / $9,549.93	Facility		$776.25	$1,122.02	$9,549.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,122.02 / $9,549.93	Professional		$776.25	$1,122.02	$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 $630.96 / $1,000.00 / $1,659.59	Professional		$630.96	$1,000.00	$1,659.59