Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $3,630.78 / $8,317.64	Facility		$1,202.26	$3,630.78	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,230.27 / $2,630.27	Professional		$1,071.52	$1,230.27	$2,630.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $6,760.83 / $7,413.10	Facility		$5,888.44	$6,760.83	$7,413.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,778.28 / $3,019.95	Professional		$1,202.26	$1,778.28	$3,019.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,778.28 / $10,000.00	Professional		$1,230.27	$1,778.28	$10,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $2,511.89	Professional		$1,096.48	$1,380.38	$2,511.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,479.11 / $1,778.28	Professional		$1,148.15	$1,479.11	$1,778.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,737.80 / $2,818.38	Professional		$1,412.54	$1,737.80	$2,818.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,479.11 / $2,290.87	Facility		$1,071.52	$1,479.11	$2,290.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,445.44 / $7,413.10	Facility		$1,000.00	$1,445.44	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,445.44 / $7,413.10	Professional		$1,000.00	$1,445.44	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $9,549.93 / $19,054.61	Facility		$5,623.41	$9,549.93	$19,054.61
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,318.26 / $2,290.87	Professional		$851.14	$1,318.26	$2,290.87