Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $4,897.79 / $8,912.51	Facility		$977.24	$4,897.79	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $933.25 / $1,949.84	Professional		$794.33	$933.25	$1,949.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $13,182.57 / $15,488.17	Facility		$9,772.37	$13,182.57	$15,488.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,380.38 / $2,398.83	Professional		$954.99	$1,380.38	$2,398.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,479.11 / $8,317.64	Professional		$954.99	$1,479.11	$8,317.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,071.52 / $1,862.09	Professional		$812.83	$1,071.52	$1,862.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,202.26 / $1,445.44	Professional		$933.25	$1,202.26	$1,445.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,258.93 / $1,995.26	Professional		$1,000.00	$1,258.93	$1,995.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,122.02 / $1,778.28	Facility		$812.83	$1,122.02	$1,778.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
Sentara Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,096.48 / $11,481.54	Facility		$794.33	$1,096.48	$11,481.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,096.48 / $11,481.54	Professional		$794.33	$1,096.48	$11,481.54
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $12,882.50 / $29,512.09	Facility		$7,413.10	$12,882.50	$29,512.09
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $977.24 / $1,659.59	Professional		$616.60	$977.24	$1,659.59